ABSTRACT
Since the outbreak of the COVID-19 pandemic, the authorities of Serbia have undertaken a concerted effort to secure China's support in containing the coronavirus. This asymmetrical cooperation, apart from aspects concerning health security, has allowed both sides to obtain considerable political and economic benefits. This article examines how China and Serbia utilize pandemic cooperation to pursue and realize their wider foreign and internal policy goals through patron–client ties, as well as highlighting the pitfalls of this kind of relationship. Although the outbreak of the pandemic and the medical cooperation that followed do not constitute a turning point in the well-established relations between the two countries, the article argues that pandemic cooperation has considerably strengthened relations. In many ways, the pattern observed by the authors resembles China's pandemic exchanges with other countries, especially smaller states with authoritarian inclinations. © The Author(s) 2023.