Background: Proper nutrition during the first two years of life is crucial for optimal physical and cognitive development. Malnutrition in early childhood can lead to long-term health consequences, including stunted growth and increased susceptibility to infections. This study examines the impact of feeding practices, including breastfeeding, complementary feeding, and bottle feeding, on the nutritional status of children up to two years of age. Methods: This prospective, non-randomized study was conducted at the Department of Pediatrics, Sree Balaji Medical College & Hospital, from August 2016 to July 2017. The study included 450 children under two years of age attending outpatient, ward, immunization, and well-baby clinics. Data were collected using a pre-designed questionnaire, and anthropometric measurements were taken to assess nutritional status using WHO growth standards. Statistical analysis was performed using SPSS Version 21. Results: The study found that exclusive breastfeeding rates were suboptimal, with only 24.6% of children receiving exclusive breastfeeding for the first six months. Bottle feeding was prevalent among 5.3% of children, while 70% received both breast and bottle feeding. The prevalence of malnutrition was notable, with 24.6% of children underweight, 5.3% stunted, and 42.6% wasted. Severe wasting was significantly associated with bottle feeding (P<0.05). Continued breastfeeding beyond six months and appropriate complementary feeding practices were linked to better nutritional outcomes. A significant correlation was observed between family pot feeding and reduced malnutrition rates (P<0.0001). Conclusion: Feeding practices play a crucial role in determining the nutritional status of children under two years of age. Exclusive breastfeeding for the first six months and the timely introduction of appropriate complementary foods significantly contribute to improved nutritional outcomes. Emphasizing traditional feeding practices, such as family pot feeding and reducing reliance on bottle feeding can help mitigate malnutrition in young children.