Exhibit 31.1



CERTIFICATION
PURSUANT TO RULE 13a-14 OR RULE

15d-14 OF
THE SECURITIES EXCHANGE ACT OF 1934,

AS ADOPTED
PURSUANT TO SECTION 302 OF THE SARBANES-OXLEY ACT OF 2002



I, Shawn E. Leon, certify that:



I have reviewed this Annual Report
on Form 10-K of Ethema Health Corporation;



|1. | Based
    on my knowledge, this report does not contain any untrue statement of a material fact or omit to state a material fact necessary
    to make the statements made, in light of the circumstances under which such statements were made, not misleading with respect
    to the period covered by this report;
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|2. | Based on my knowledge, this report does not
    contain any untrue statement of a material fact or omit to state a material fact necessary to make the statements made, in
    light of the circumstances under which such statements were made, not misleading with respect to the period covered by this
    report;
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|3. | Based on my knowledge, the financial statements,
    and other financial information included in this report, fairly present in all material respects the financial condition,
    results of operations and cash flows of the registrant as of, and for, the periods presented in this report;
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|4. | The registrant’s other certifying officer(s)
    and I are responsible for establishing and maintaining disclosure controls and procedures (as defined in Exchange Act Rules
    13a-15(e) and 15d-15(e)) and internal control over financial reporting (as defined in Exchange Act Rules 13a-15(f) and 15d-15(f))
    for the registrant and have:
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| | a) | Designed such disclosure controls and procedures,
    or caused such disclosure controls and procedures to be designed under our supervision, to ensure that material information
    relating to the registrant, including its consolidated subsidiaries, is made known to us by others within those entities,
    particularly during the period in which this report is being prepared;
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| | b) | Designed such internal control over financial
    reporting, or caused such internal control over financial reporting to be designed under our supervision, to provide reasonable
    assurance regarding the reliability of financial reporting and the preparation of financial statements for external purposes
    in accordance with generally accepted accounting principles; and
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| | c) | Evaluated the effectiveness of the registrant’s
    disclosure controls and procedures and presented in this report our conclusions about the effectiveness of the disclosure
    controls and procedures, as of the end of the period covered by this report based on such evaluation; and
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| | d) | Disclosed in this report any change in the registrant’s
    internal control over financial reporting that occurred during the registrant’s most recent fiscal quarter (the registrant’s
    fourth fiscal quarter in the case of an annual report) that has materially affected, or is reasonably likely to materially
    affect, the registrant’s internal control over financial reporting; and
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|5. | The registrant’s other certifying officer(s)
    and I have disclosed, based on our most recent evaluation of internal control over financial reporting, to the registrant’s
    auditors and the audit committee of the registrant’s board of directors (or persons performing the equivalent functions):
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| | a) | All significant deficiencies and material weaknesses
    in the design or operation of internal control over financial reporting which are reasonably likely to adversely affect the
    registrant’s ability to record, process, summarize and report financial information; and
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| | b) | Any fraud, whether or not material, that involves
    management or other employees who have a significant role in the registrant’s internal control over financial reporting.
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Dated: April 16, 2019



| | /s/
    Shawn E. Leon                                                                                                                                                 
| | ----------------------------------------------------------------------------------------------------------------------------------------------------------------------
| | Chief
                                     Executive Officer and Chief Financial Officer
        (Principal Executive Officer
        and Principal Financial Officer)