Background:Unnatural deaths of medico-legal importance" refers to deaths that occur under circumstances that suggest foul play, accident, suicide, or are otherwise suspicious. The present study was conducted to assess pattern of unnatural deaths. Materials & Methods:72 cases brought for autopsy to the Department of Forensic Medicine & Toxicology, of both genders were recorded. Causes of deaths in each case was recorded in case sheet. Results: Out of 72 cases, males were 40 and females were 32. Causes of unnatural deaths were head injury in 32, spinal injury in 3, polytrauma in 2, blunt injury to trunkin 5, poisoning in 3, crush injury in 2, septic burns in 3, electric shock in 4 and hanging in 18 cases. The difference was significant (P< 0.05). Conclusion: The most common cause of unnatural deaths was head injury, and hanging.