The east coast of Malaysia is frequently hit by monsoon floods every year that severely impact people, particularly those living close to the river bank, which is considered to be the most vulnerable and high-risk areas. We aim to determine the most vulnerable area and understand affected residents of this community who are living in the most sensitive areas caused by flooding events in districts of Temerloh, Pekan, and Kuantan, Pahang. This study involved collecting data for vulnerability index components. A field survey and face-to-face interviews with 602 respondents were conducted 6 months after the floods by using a questionnaire evaluation based on the livelihood vulnerability index (LVI). The findings show that residents in the Temerloh district are at higher risk of flooding damage compared to those living in Pekan and Kuantan. Meanwhile, the contribution factor of LVI-Intergovernmental Panel on Climate Change (IPCC) showed that Kuantan is more exposed to the impact of climate change, followed by Temerloh and Pekan. Among all the principal components shown, food components were considered to be the most vulnerable. Meanwhile, water components were categorised as the most invulnerable. Preventive planning involves preserving human life, minimising damage to household products, preserving crops and animals, adequate supply of clean water and food, good health and ensuring financial sustainability as an indication of changing livelihoods, sustainable food-storing systems, and other protective steps to curb damage and injury caused by annual flood strikes. Information generated on LVI assessment and adaptation procedures will help policymakers reduce people's vulnerability in the face of floods and ensure proper plans are put in place in all relevant areas.