Objectives: The goal of the study was to assess if body mass index (BMI) affects the pace of cardiac muscle recovery in children after PIMS-TS. Methods: A prospective single-center study enrolled consecutive children hospitalized with PIMS-TS between October 2020 and February 2022 and followed-up after 6 weeks and 6 months. In all children three-dimensional echocardiography and global longitudinal strain were used to assess ventricular function and the results were analyzed according to patients’ BMI status. Results: The study enrolled 170 patients aged 1-17 years, median 8.5+4.43 years. Children with normal BMI (>5th and 85th percentile; n=40) made 23.53% and underweight (85th percentile LVEF 61.15+3.21%, BMI 85th per-centile may indicate poorer left ventricular performance. Children with normal BMI may present more advantageous cardiac recovery pace after PIMS-TS.