The Royal Hospital is a public tertiary hospital in Oman with 1,056 beds. During the COVID-19 pandemic, its Intensive Care Unit's (ICU) capacity was forced to increase from 16 adult beds to more than 50 beds. The ICU's bed occupancy rate was over 100%, with several multiple COVID-19 ambulatory care wards expansions to manage an exponentially growing COVID-19 cases. Patients with moderate symptoms were admitted to ambulatory institutions while those with serious symptoms were admitted to the ICUs.