Septoria leaf blotch (SLB), caused by Zymoseptoria tritici, is one of the most important foliar diseases of wheat. The management of this disease is assisted by selecting a sowing time and seeding density that is less favorable to the pathogen. The aim of this research was to evaluate the severity of SLB on winter wheat cv. ‘Etana’ sown at three different sowing times and three seed rates. The severity assessments were performed on the upper two leaves three times during the growth stages using the phenological growth stage key developed by the Biologische Bundesanstalt, Bundessortenamt, and Chemical industry (BBCH), namely stages 37–41, 59–65, and 75. The area under the disease progress curve (AUDPC) was evaluated in each plot. In 2022, seed rates showed significant differences (p = 0.0047), while sowing times did not show significant differences. In contrast, both seed rate and sowing time showed significant effects in 2021 (p = 0.0004 for sowing time and p < 0.0001 for seed rate). During the 2021 growth stage BBCH 75, late sowing times exhibited a significant reduction in SLB on the first leaf. The reduction ranged from 47.0% to 52.6% compared to the optimal sowing time, and from 59.2% to 66.2% compared to the early sowing time. At optimal sowing times (between 11 September and 25 September), seed rates of 400 and 450 seeds/m2 resulted in a low SLB. At late sowing times in 2022, a lower SLB (43.2% compared to the early sowing time) was obtained from seed rates of 400 seeds/m2. No significant interaction was observed between sowing time and seed rate across both study years. In the absence of interaction, the effects of sowing time and seed rate on SLB severity were independent and not additive. In 2022, the highest values of AUDPC were recorded for the early sowing time and the highest seed rate. Increasing the seed rate (450 seeds m−2) gave higher AUDPC at early sowing time with significant differences compared to other seed rates at optimal or late sowing times. In conclusion, our findings highlight the significant influence of sowing time and seed rate on SLB severity in winter wheat. Understanding these factors can inform agricultural practices to better manage SLB. Future research should explore additional agronomic practices and environmental factors to develop comprehensive strategies for SLB management.