| Score | Rank | Name | Followers | Following | Country | ||
|---|---|---|---|---|---|---|---|
| 01 |  |  | Narendra Modi @narendramodi | 88M | 2.5K | Prime Minister India | |
| 02 |  |  | Recep Tayyip Erdoğan @RTErdogan | 20.2M | 105 | President Turkey | |
| 03 |  |  | Joko Widodo @jokowi | 19.4M | 58 | President Indonesia | |
| 04 |  | Imran Khan @ImranKhanPTI | 19M | 0 | Former Prime Minister Pakistan | ||
| 05 |  | Sheikh Muhammad @HHShkMohd | 11M | 59 | Prime Minister UAE | ||
| 06 |  | Salman Bin Abdulaziz @KingSalman | 10M | 0 | King Saudi Arabia | ||
| 07 |  | Shehbaz Sharif @CMShehbaz | 6.6M | 281 | Prime Minister Pakistan | ||
| 08 |  | Sheikh Khalifa @MohamedBinZayed | 4.8M | 0 | Emir UAE | ||
| 09 |  | Dr Arif Alvi @ArifAlvi | 4.2M | 157 | President Pakistan | ||
| 10 |  | Tsai Ing-wen @iingwen | 2.3M | 25 | President Taiwan (Republic of China) | ||
| 11 |  | Abdullah II @KingAbdullahII | 2.2M | 0 | King Jordan | ||
| 12 |  | Benjamin Netanhyahu @netanyahu | 2.2M | 26 | Prime Minister Israel | ||
| 13 |  | Anwar Ibrahim @anwaribrahim | 1.8M | 12.7K | Prime Minister Malaysia | ||
| 14 |  | Sheikh Tamim @TamimBinHamad | 1.6M | 0 | Emir Qatar | ||
| 15 |  | Mustafa Al-Kadhimi @MAKadhimi | 1.5M | 0 | Prime Minister Iraq | ||
| 16 |  | Dr Mahathir Mohamad @chedetofficial | 1.3M | 102 | Former Prime Minister Malaysia | ||
| 17 |  | Muhyiddin Yassin @MuhyiddinYassin | 1.2M | 17 | Former Prime Minister Malaysia | ||
| 18 |  | Barham Salih @BarhamSalih | 1.1M | 100 | President Iraq | ||
| 19 |  | Ashraf Ghani @ashrafghani | 1M | 12 | Former President Afghanistan | ||
| 20 |  | Hassan Rouhani @HassanRouhani | 1M | 7 | President Iran |
