This is a common way to say "How are you, friend?" in Malayalam.
Here are some other ways to say it:
* നല്ലതാണോ സുഹൃത്തേ? (Nallathaano suhruththe?) - This is a more formal way to say "Are you well, friend?".
* സുഖമാണോ സുഹൃത്തേ? (Sukhamaano suhruththe?) - This is a more casual way to say "Are you okay, friend?".
It's important to note that the best way to say "How are you, friend?" in Malayalam depends on the context and your relationship with the person you are speaking to.