Background: Coronavirus-19 pandemic is a worldwide public health problem knowing in China from December 25, 2019. Phospholipids are structural components of mammalian cytoskeleton and cell membranes. It suppressed viral attachment to the plasma membrane and subsequent replication in lung cells. Aim: The present study was carried out to explain the correlation between the plasma level phospholipids in patients with COVID-19 and cytokine storms to assess disease severity. Methods: Plasma samples from enrolled 34 patients with mild, moderate, and severe COVID-19 infection was collected. CBC, plasma levels of d-dimer, ferritin, CRP, cholesterol, HDL-C, LDL-C, phospholipids, sPLA2α2, and cytokine storms was estimated as well as lung CT imaging was detected. Results: CBC showed that the presence of leukopenia, lymphopenia, eosinopenia in patients with mild, moderate, and severe COVID-19 infection. Also, a significant increase in plasma d-dimer, CRP, ferritin, triacylglycerols, cytokine storms levels as well as sPLA2α2 activity when compared to normal persons. However, plasma levels of phospholipids and lipid profile were decreased significantly in patients with severe COVID-19 infection only, when compared to normal persons. In addition, lung CT scan showed that the presence of GGO, bronchial wall thickening, crazy paving sign as well as right, left, upper, and lower lung predominant in a patient with mild, moderate, and severe COVID-19 infection. Conclusion: The present study was showed that there is a correlation between plasma phospholipids depletion and elevation of cytokines storm. Also, plasma phospholipids levels can be used to estimate COVID-19 infection severity.