Akkaraipattu has a historical background that dates back centuries. The region has been influenced by various civilizations, including the ancient Tamil kingdoms, colonial powers, and the indigenous Muslim community. Over time, Akkaraipattu became an important trading post due to its coastal location, facilitating maritime trade routes with other countries.

During the Sri Lankan civil war, Akkaraipattu experienced the devastating effects of the conflict. The city faced numerous challenges, including forced disappearances, civil unrest, and violence targeted at local civilians.

In 2004, Akkaraipattu was severely impacted by the Indian Ocean tsunami. The natural disaster resulted in the loss of many lives and caused extensive damage to the city’s infrastructure and property.