| Score | Rank | Name | Followers | Following | Category | ||
|---|---|---|---|---|---|---|---|
| 01 |  |  | Imran Khan imrankhan.pti | 7.8M | 1 | Politician | |
| 02 |  |  | Shah Mahmood Qureshi smqureshi.pti | 729K | 23 | Politician | |
| 03 |  |  | Maryam Nawaz Sharif maryam_nawaz_sharif_official | 524K | 1 | Politician | |
| 04 |  | Zartaj Gull Wazir zartajgullwazir | 470K | 9 | Politician | ||
| 05 |  | Jahangir Khan Tareen jahangirkhantareen | 461K | 4 | Politician | ||
| 06 |  | Usman Buzdar usmanakbuzdar | 451K | 5 | Politician | ||
| 07 |  | Dr. Arif Alvi dr.arifalvi | 362K | 2 | Politician | ||
| 08 |  | Usman Dar udarofficial | 322K | 11 | Politician | ||
| 09 |  | Qasim Khan Suri qasimkhansuri | 310K | 102 | Politician | ||
| 10 |  | Asad Umar asadumarofficial | 236K | 1 | Politician | ||
| 11 |  | Bilawal Bhutto Zardari bbhuttozardari | 234K | 267 | Politician | ||
| 12 |  | Zulfikar Bukhari sayedz.bukhari | 205K | 70 | Politician | ||
| 13 |  | Imran Ismail imranismail.pti | 178K | 7 | Politician | ||
| 14 |  | Sherry Rehman sherryrehman | 121K | 435 | Politician | ||
| 15 |  | Faisal Javed Khan faisaljavedkhan | 116K | 29 | Politician | ||
| 16 |  | Shehbaz Sharif shehbazsharif | 104K | 9 | Politician | ||
| 17 |  | Murad Saeed muradsaeed_official | 51K | 3 | Politician | ||
| 18 |  | Faryal Talpur faryaltalpur_official | 44.4K | 4 | Politician | ||
| 19 |  | Azma Bokhari azmabokharipmln | 41K | 82 | Politician | ||
| 20 |  | Marriyum Aurangzeb marriyum_aurangzeb | 29K | 82 | Politician |
