Little attention has been paid to the phenomenon of “Sino-centric multilateralism” which encompasses new global structures China has been creating to better suit its interests and enhance its leadership. These typically started with summits that formalise over time as activities are institutionalized, or else are developed in forums largely occupied by the global South. This research delves into the recent Sino-centric multilateralism as China actively shapes and spearheads international institutions and platforms to advance its strategic interests. It explores the nuanced strategies employed by the regional states in response to China’s activism in various multilateral fora and institutions.