Background:Even though the primary causes of death in acute stroke are neurologic issues, other medical complications may claim the lives of up to half of all acute stroke patients. The present study was conducted to assess risk factors for pneumonia in patients with acute ischaemic stroke. Materials & Methods:120 adult patients with acute ischaemic stroke of both genders were divided into 2 groups. Group I were stroke patients without pneumonia and group II were with pneumonia. Risk factors were recorded. Results:Out of 120 patients, 75 were males and 45 were females. GCS ≤13 was seen in 12% and 47%, NIHSS score ≥5 in 32% and 70%, water swallow test score ≤2 in 6.5% and 72% and modified Barthel ADL score <10 in 35% and 42% in group I and II respectively. The difference was significant (P< 0.05). Lesions were supratentorial in 40 and 18, infratentorial in 22 and 12, supra+ infra tentorial in 18 and 10 patients in group I and II respectively. Co-existing conditions were hypertension in 20 and 11, diabetes in 16 and 8, ischaemic heart disease in 14 and 9, dyslipidemia in 12 and 5, COPD in 9 and 13 and renal dysfunction in 5 and 7 patients in group I and II respectively. The difference was non- significant (P> 0.05). Bed ridden status and water swallow test score ≤2 were independent risk factors of developing pneumonia in patients with acute ischaemic stoke.Conclusion: The results of the water swallow test and bedridden status were important risk factors for ischemic stroke linked to pneumonia. Therefore, a greater understanding of these characteristics and their early detection may aid in improving care and preventing pneumonia in acute stroke patients.