Background: This study was undertaken to analyze 20-year trend regarding the lipid intake of Korean adults according to general characteristics, dietary behavior, food groups, and the Dietary Reference Intakes for Koreans (KDRIs), using KNHANES (Korea National Health and Nutrition Examination Survey) data. Methods: This study selected adults who participated in the 24-hour recall method to investigate the trend of lipid intake for the 20-year period from 1998 to 2018 of the KNHANES. A total of 86,222 individuals with adults aged 19 and over were included in the study. Results: The lipid intake increased significantly in all individuals (+7.34g), men (+9.71g), and women (+4.93g) (p for trend<0.001) from the first to the seventh term. The lipid ratio contributed to energy increased significantly in all individuals (+3.52% percentage points), men (+3.12% percentage points), and women (+3.90% percentage points) over the 20-year period (p for trend<0.001). Lipid intake increased significantly overall as well as by sex, age, residential area, education level (except below 12 years of education), and presence of obesity and abdominal obesity increased over the 20-year period. Total plant and animal lipid intake has increased over the 20-year period from 1998 to 2018. Specifically, the ratio of lipid intake from potatoes, sugars, seeds and nuts, seaweed, beverages, meats, eggs, dairy products, and other animal foods has increased, while that from grains, beans, vegetables, mushrooms, fruits, vegetable oils, fish and shellfish, and animal fats has decreased. Conclusions: The results of this study will aid in the preparation of basic data for nutrition policy and proper nutrition and dietary education with the aim of improving the diets of Koreans nationwide.