Provided is to provide a cylindrical printing plate with which printing of excellent solid density and high halftone dot quality is made possible, and further print medium followability and printing durability are excellent, a cylindrical printing plate precursor, a method for manufacturing a cylindrical printing plate precursor, and a method for manufacturing a cylindrical printing plate. A cylindrical printing plate includes a relief layer having a first hard layer, a soft layer, and a second hard layer in this order from a printing surface side, in which a hardness K1 of the first hard layer is 10 MPa or more and less than 20 MPa, a ratio K1/K2 of the hardness K1 of the first hard layer with respect to a hardness K2 of the soft layer is 2.7 or more, a ratio K3/K2 of a hardness K3 of the second hard layer with respect to the hardness K2 of the soft layer is 1.2 or more, a thickness of the first hard layer is 0.05 mm or more and 0.3 mm or less, and a thickness of the soft layer is 0.3 mm or more and 2.0 mm or less.