Jet impingement heat transfer (JIHT) is a technique deployed in various cooling/heating applications. The heat transfer (HT) and flow structure of a confined circular air impinging jet on a flat plate with a circular row of novel droplet roughness elements are numerically investigated utilizing the RNG k-ε turbulence model. The effects of Reynolds number in the range between 7,000 and 35,000, the location of the droplet roughness elements (DREs) relative-to-jet diameter ( \(s/d\) ) of 1.5, 2, 2.5, and 3 and confinement plate height ( \(H/d\) ) of 0.25, 0.5, 1, and 1.5 are studied. The distribution of surface temperature, local Nusselt number ( \(\it {\text{Nu}}\) ), average Nusselt number ( \(\it {\text{Nu}}_{{{\text{avg}}}}\) ), average Nusselt number ratio ( \(0\it {\text{Nu}}_{{{\text{avg}}/phantom{i}{\text{.r}}}}\) ), velocity distribution, streamline contours, turbulence kinetic energy (TKE), and static pressure ( \(p\) ) drop are discussed. In addition, the performance evaluation criterion ( \(\it {\text{PEC}}\) ) is assessed to evaluate the overall performance of the confined jet impingement. The results show that the presence of droplet roughness elements considerably influences the rates of heat transfer. At \(s/d\) = 1.5, H/d = 0.5, and Re = 35,000, the \(\it {\text{Nu}}_{{{\text{avg}}}}\) , \(\it {\text{Nu}}_{{{\text{avg}}/phantom{i}{\text{.r}}}}\) , and \(\it {\text{PEC}}\) equal 127, 2.45, and 2.88, respectively. As well, DREs significantly reduce the recirculation zone downstream of the roughness elements.