[6] The eastern desert regions of the governorate fell under the control of Islamic State of Iraq and the Levant by 2016,[7] but by September 2017 the Syrian Army had managed to oust them.

[8] During the 2024 Northwestern Syria Offensive, the Syrian Salvation Government captured large portions of the governorate.

The provincial capital is Hama; other major settlements include Akakir, Al-Hamraa, Al Qastal, Al-Saan, Aqarib as Safi, At Tammazah, Ithriya, Kafr Buhum, Karnaz, Mahardah, Masyaf, Murak, Qalaat al-Madiq, Qasr Ibn Wardan, Sabburah, Salamiyah, Shaykh Hilal, Shaytalun, Suran and Tayyibat at Turki.

[12] Between 1926 and 1949, Hama witnessed developments in its public sector with industry expanding on sugar plants, onion drying, oils manufacturing, cotton grinning factories, and cement production and processing.

Other manufacturing industry that was expanded include soda, ice cream, candy, textile, wool, cotton, rugs, carpets, gowns, and horse saddles.