The health of marginalized groups is a significant public health issue. The study aims to analyze the health status of Roma older than 18 years of age and living in two small towns in Bulgaria (Kneja and Kotel). In March and April of 2016, a cross-sectional study among 18 Roma families was conducted. The data were collected by face to face interview taken by Roma medical students. The average number of people living in Roma families is 2.72. The distribution by gender is: 59.5% females compared to 40.5% males. The study established that 54% of women and 82% of men use tobacco every day and 93.8% of them do not use diet products at all. More than 60% of the adult Roma population does not have health insurance. Around 89% of participants reported the presence of chronic diseases and 46.2% of the women and 20% of the men suffered from at least three diseases. The findings confirmed the worse health status among Roma compared to other ethnic groups and health inequalities between Roma and non-Roma living in Bulgaria.