Despite the utilization of various biochemical markers and probability calculation algorithms based on clinical studies of community-acquired pneumonia (CAP), more specific and practical biochemical markers remain to be found for improved diagnosis and prognosis. In this study, we aimed to detect the alteration of metabolite profiles, explore the correlation between serum metabolites and inflammatory markers, and seek potential biomarkers for young adults with CAP. 13 Eligible young mild CAP patients between the ages of 18 and 30 years old with CURB65 = 0 admitted to the respiratory medical department were enrolled, along with 36 healthy participants as control. Untargeted metabolomics profiling was performed and metabolites including alcohols, amino acids, carbohydrates, fatty acids, etc. were detected. A total of 227 serum metabolites were detected. L-Alanine, 2-Hydroxybutyric acid, Methylcysteine, L-Phenylalanine, Aminoadipic acid, L-Tryptophan, Rhamnose, Palmitoleic acid, Decanoylcarnitine, 2-Hydroxy-3-methylbutyric acid and Oxoglutaric acid were found to be significantly altered, which were enriched mainly in propanoate and tryptophan metabolism, as well as antibiotic-associated pathways. Aminoadipic acid was found to be significantly correlated with CRP levels and 2-Hydroxy-3-methylbutyric acid and Palmitoleic acid with PCT levels. The top 3 metabolites of diagnostic values are 2-Hydroxybutyric acid(AUC = 0.90), Methylcysteine(AUC = 0.85), and L-Alanine(AUC = 0.84). The AUC for CRP and PCT are 0.93 and 0.91 respectively. Altered metabolites were correlated with inflammation severity and were of great diagnostic value for CAP. Community-acquired pneumonia (CAP), the most common type of pneumonia, is one of the leading causes of mortality and morbidity worldwide 1. Typical bacterial pathogens that cause CAP include Streptococcus pneumoniae, Haemophilus influenzae, and Moraxella catarrhalis 2,3. The most common type of bacteria is Streptococcus pneumoniae, especially in young patients with CAP who could be cured by moxifloxacin 2,3. The clinical presentation of CAP varies from mild pneumonia characterized by fever and productive cough to severe pneumonia characterized by respiratory distress and sepsis 4. Although considerable progress has been made in understanding the molecular mechanisms underlying pulmonary infection, satisfactory diagnosis and treatment modalities remain limited 3. To date, a large number of biochemical markers have been explored as potential diagnostic variables for CAP, such as C-reactive protein (CRP) level, neutrophil percentage, and white blood cell count (WBC) 5. Despite the utilization of various biochemical markers and probability calculation algorithms based on clinical studies of CAP, more specific and practical biochemical markers remain to be found for improved CAP diagnosis and prognosis prediction.