 On 1 July 2010, Elmohamady joined Sunderland after passing medicals for a season-long loan move from ENPPI for a £500,000 fee, with an option of a permanent deal for £2 million next summer.Elmohamady made his debut for Sunderland in their 2–2 draw with Birmingham City on 14 August 2010.He won Man of the Match for his performances against Arsenal and Manchester City.