The pandemic of COVID-19 crisis suddenly appeared worldwide, and there were no proper crisis management procedures taken in advance to contain such a problem. Moreover, it has had harmful and unmeasured consequences on most life sectors, including construction, which has been severely impacted during the pandemic. This paper aims to review factors with a high-risk impact on hospitals' construction projects during the outbreak of COVID-19 in developing countries by considering the case of Iraq's construction sector. A mixed methodology of qualitative and quantitative research approaches was used. The qualitative method involved (1) a literature review and (2) semi-structured interviews to identify high-risk factors that affect construction projects during the outbreak of COVID-19. The quantitative method involved (1) collecting survey data from 205 industry professionals and experts to determine each risk factor's importance and influence. Cronbach's alpha test to check the reliability of the collected data set, and (3) a fuzzy inference system method was used to assess the impact of each factor on construction projects during the pandemic. The findings of this study indicate that the construction industry has been hit severely during the COVID-19 in Iraq. Moreover, 17 high-risk sub-factors under six main construction factors involve health and safety, risk management, management deficiency, financial, supply chain management and contractual impact hospital construction projects. Furthermore, the most significant risk factors had impacted hospital construction projects by calculating their means were (1) commitment to safety and health recommendations with a level of impact equal to 4.81; (2) risk management procedures with a level of impact equal to 4.63; (3) equipment delivery delays with a level of impact equal to 4.54; (4) worker acceptance of COVID-19 vaccination with a level of impact equal to 4.36; (5) increase of price material with a level of impact equal to 4.18; (6) lack of use of the latest technology with a level of impact equal to 4.09; (7) delay in payments with a level of impact equal to 3.90; and (8) lack of training to deal with the pandemic with a level of impact equal to 3.81. As such, this paper contributes by providing effective policies and measures to mitigate the impact of COVID-19 on hospital construction projects in Iraq.