Introduction <p>Even though efforts have been made to improve abortion care services in Ghana, some health facilities are unable to offer the desired quality of services.</p> Objective <p>This study aimed to determine the factors influencing client satisfaction with abortion care services.</p> &#xa0;Methodology <p>A quantitative, cross-sectional study was conducted with a sample of 12 health facilities involving 190 women who received abortion care services within the past 6 months using medical records. Data were collected using a questionnaire, and analysis was performed with Stata-17. Multilevel ordinal logistic regression analysis was performed to identify factors associated with clients’ satisfaction with abortion care. The magnitude of association was estimated by adjusted odds ratios (aOR) with a 95%CI, and a <i>p</i> &lt; 0.05 was considered statistically significant</p> Results <p>In all, 131 (69%) of participants were satisfied with the abortion services received. In the multilevel regression analysis, women who used public facilities had higher odds of satisfaction with care (aOR = 2.23, 95%CI [1.52–9.58], <i>p</i> = 0.00). The odds of satisfaction with abortion care services provided in an excellently clean facility were greater in both the facility and combined models (aOR 9.6; 95% CI 4.84–53.2) and (aOR 16.1; 95% CI 4.03–82.27), respectively. Good staff attitude showed a significantly positive association with care satisfaction in both individual and facility models. Health facility accessibility was inversely related to abortion care satisfaction among participants. </p> Conclusion <p>Relevant health stakeholders in the Municipality should institute or intensify strategies to help improve abortion care.</p>