| Score | Rank | Name | Followers | Following | Category | ||
|---|---|---|---|---|---|---|---|
| 01 |  |  | Imran Khan @ImranKhanPTI | 20M | 0 | Politician | |
| 02 |  |  | Asad Umar @Asad_Umar | 9.4M | 13 | Politician | |
| 03 |  |  | PTI @PTIofficial | 9.4M | 1.4K | Political Party | |
| 04 |  | Hamid Mir @HamidMirPAK | 8.2M | 611 | TV Anchor | ||
| 05 |  | Sheikh Rashid Ahmad @ShkhRasheed | 8.1M | 1 | Politician | ||
| 06 |  | Maryam Nawaz Sharif @MaryamNSharif | 8M | 12.8K | Politician | ||
| 07 |  | Iqrar ul Hassan Syed @iqrarulhassan | 7M | 1.3K | TV Anchor | ||
| 08 |  | Shehbaz Sharif @CMShehbaz | 6.7M | 282 | Politician | ||
| 09 |  | Pakistan Cricket @TheRealPCB | 6.6M | 178 | Sport | ||
| 10 |  | Wasim Akram @wasimakramlive | 6.2M | 136 | Cricketer | ||
| 11 |  | Shoaib Akhtar @shoaib100mph | 6.2M | 4 | Cricketer | ||
| 12 |  | Ch Fawad Hussain @fawadchaudhry | 6.2M | 2.9K | Politician | ||
| 13 |  | DG ISPR @OfficialDGISPR | 6.2M | 0 | Pakistan Army Media | ||
| 14 |  | Mubasher Lucman @mubasherlucman | 6M | 10 | TV Anchor | ||
| 15 |  | Kamran Khan @AajKamranKhan | 5.6M | 390 | TV Anchor | ||
| 16 |  | ARY News @ARYNEWSOFFICIAL | 5.6M | 24 | News | ||
| 17 |  | Geo News Urdu @geonews_urdu | 5.4M | 16 | News | ||
| 18 |  | Bilawal Bhutto Zardari @BBhuttoZardari | 5.1M | 2.7K | Politician | ||
| 19 |  | Shah Mahmood Qureshi @SMQureshiPTI | 5.1M | 18 | Politician | ||
| 20 |  | Murad Saeed @MuradSaeedPTI | 5.1M | 22 | Politician | ||
| 21 |  | Waseem Badami @WaseemBadami | 5.1M | 924 | TV Anchor | ||
| 22 |  | Imran Khan @ImranRiazKhan | 5.1M | 592 | TV Anchor | ||
| 23 |  | Babar Azam @babarazam258 | 5M | 45 | Cricketer | ||
| 24 |  | Dr Arif Alvi @ArifAlvi | 4.3M | 156 | Politician | ||
| 25 |  | Dr. Shahbaz GiLL @SHABAZGIL | 4.3M | 45 | Politician | ||
| 26 |  | Kashif Abbasi @Kashifabbasiary | 4.2M | 657 | TV Anchor | ||
| 27 |  | Express News @ExpressNewsPK | 4.1M | 5 | News | ||
| 28 |  | Mohammad Hafeez @MHafeez22 | 4M | 106 | Cricketer | ||
| 29 |  | Shoaib Malik @realshoaibmalik | 4M | 239 | Cricketer | ||
| 30 |  | Mohammad Amir @iamamirofficial | 4M | 210 | Cricketer | ||
| 31 |  | Jahangir Khan Tareen @JahangirKTareen | 4M | 135 | Politician | ||
| 32 |  | Faisal Javed Khan @FaisalJavedKhan | 4M | 1.8K | Politician | ||
| 33 |  | Ali Muhammad Khan @Ali_MuhammadPTI | 4M | 10 | Politician | ||
| 34 |  | Ramiz Raja @iramizraja | 3.8M | 51 | Cricketer | ||
| 35 |  | Shafqat Mahmood @Shafqat_Mahmood | 3.8M | 175 | Politician | ||
| 36 |  | Zartaj Gul Wazir @zartajgulwazir | 3.8M | 193 | Politician | ||
| 37 |  | Aasma Sherazi @asmashirazi | 3.8M | 1.2K | TV Anchor | ||
| 38 |  | Prime Minister's Office @PakPMO | 3.7M | 15 | Prime Minister Office | ||
| 39 |  | Syed Talat Hussain @TalatHussain12 | 3.7M | 0 | TV Anchor | ||
| 40 |  | Shahzeb Khanzada @shazbkhanzdaGEO | 3.6M | 298 | TV Anchor | ||
| 41 |  | Reham Khan @RehamKhan1 | 3.7M | 1.8K | Media Personality | ||
| 42 |  | Hamza Ali abbasi @iamhamzaabbasi | 3.5M | 4 | Male Celebritiy | ||
| 43 |  | Najam Sethi @najamsethi | 3.5M | 850 | TV Anchor | ||
| 44 | | ARY News Urdu @arynewsud | 3.5M | 24 | News | ||
| 45 |  | Saleem Safi @SaleemKhanSafi | 3.4M | 983 | TV Anchor | ||
| 46 |  | Sabir Shakir @ARYSabirShakir | 3.3M | 435 | TV Anchor | ||
| 47 |  | Bakhtawar B-Zardari @BakhtawarBZ | 3.3M | 883 | Media Personality | ||
| 48 |  | Moeed Pirzada @MoeedNj | 3.2M | 973 | TV Anchor | ||
| 49 |  | Tehreek-e-Insaf @PTIofficial | 3.2M | 514 | Political Party | ||
| 50 |  | Ali Zafar @AliZafarsays | 3.2M | 42 | Male Celebritiy |
