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Afif has been named in a three-man shortlist for the Asian Football Confederation’s men's player of the year for bringing the 2019 Asian Cup to Qatar.

During Qatar's successful 2019 AFC Asian Cup campaign, Afif played a paramount role in helping his team lift the trophy, registering 10 assists overall, a new record in the tournament.

Afif finished his first senior season with two goals in nine matches. On 18 March 2016, he scored a brace in a 4–0 home win against KSV Roeselare.

On 8 May 2016 it was confirmed that Afif would be rejoining Villarreal, this time on a permanent deal. In doing so, he became the first Qatari-born signing in La Liga history. On 4 August, he was loaned to fellow top tier club Sporting de Gijón in a season-long deal.

Afif made his debut in the main category of Spanish football on 21 August 2016, coming on as a substitute for Burgui in a 2–1 home win against Athletic Bilbao. After nine league matches, he returned to his first senior club Eupen on a one-year loan deal on 14 July 2017. He went back to his home country in January 2018 to play for Al Sadd where he had a very successful season.

In January 2015, Afif was signed by Eupen. He scored a goal in his debut against Eendracht Aalst on 19 January. On 24 January in his next match against KRC Mechelen, he assisted in three of his side's five goals.

He was called up to the senior national team in September 2015 by coach Daniel Carreño. He scored in Qatar's 15–0 win against Bhutan on 3 September 2015 during the 2018 World Cup Qualification rounds. He also registered an assist in the match.

Afif learned Spanish for his move to Sevilla. In June 2015, he graduated from Aspire Academy.

Afif featured in Qatar U20's AFC U-19 Championship qualification campaign in 2014. During the main tournament, he scored the lone goal in the final against DPR Korea to give Qatar the victory.

He represented Sevilla in the 2013 Al Kass International Cup, netting a brace and earning an assist in the team's first match, which ended as a 3–0 victory against Aspire Academy.

Born in Doha, Qatar, Afif started off in the youth teams of Al-Markiya and then Al Sadd before joining the Aspire Academy as a full-time student in 2009. During his time at Aspire, Afif traveled to Spain on an exchange student program and played for the youth teams of Sevilla and Villarreal.

Akram Hassan Afif Yahya Afif (Arabic: أكرم عفيف ‎; born 18 November 1996) is a Qatari professional footballer who plays as a forward for Qatari club Al Sadd, on loan from Villarreal, and the Qatar national team.

Afif was born in Doha, Qatar. He has a brother, Ali Afif, who is a footballer for QSL side Lekhwiya. His father, Hassan Afif, is of Somali descent and was born in Moshi in Tanzania. His father previously played for Simba in Tanzania but later moved to Somalia where he went on to play for Horseed. He subsequently moved to Qatar and played for Al Ittihad (later renamed Al Gharafa). After retiring, he managed Al Gharafa from 1986 until 1987 and Al Markhiya from 2001 until 2003 and 2006 until 2007. His mother, Fayza, comes from Yemen.