The Eastern Orthodox Church is the most widespread Christian denomination in Bosnia and Herzegovina and the second most widespread religious group in the country, following Islam and followed in turn by Roman Catholicism. Orthodox Christians in Bosnia and Herzegovina belong to the Serbian Orthodox Church. According to the CIA Factbook, Orthodox Christians make up 31% of the country's population.
The end of the High Middle Ages saw Eastern Orthodoxy firmly establish itself – in the form of the Serbian Orthodox Church – in the east of Herzegovina, namely Zachlumia, following a period of rule by the Kingdom of Serbia. Zachlumia was conquered by Bosnian ban Stephen II Kotromanić in the late 1320s and was henceforth part of the Banate of Bosnia (later kingdom), in which the Roman Catholic Church and the indigenous Bosnian Church vied for supremacy. In such political climate, the Eastern Orthodoxy never seems to have penetrated the medieval Bosnia proper beyond Podrinje.
The Ottoman conquest of the Kingdom of Bosnia in 1463 led to drastic changes in the confessional structure of Bosnia and Herzegovina, with Islam taking root and Orthodox Christianity spreading into Bosnia. Sultan Mehmed the Conqueror vowed to protect Orthodox Christianity and, like all Orthodox churches, the Serbian Orthodox Church enjoyed great support of the Ottoman state. The Ottomans introduced a sizeable Orthodox Christian population into Bosnia proper, including Vlachs from the eastern Balkans. The conversion of the adherents of the Bosnian Church also aided the spread of Eastern Orthodoxy. Later, areas abandoned by Catholics during the Ottoman–Habsburg wars were settled with Muslims and Orthodox Christians. The Ottoman regime consistently favored the Orthodox Church over the Catholic and encouraged conversions of Catholics to Orthodoxy due to political expediency: while the entire Orthodox hierarchy was subjected to the sultan, the Catholics were suspected of conspiring with their brethren outside the Ottoman Empire.