Background:Injuries resulting from falling from heights can vary widely depending on several factors, including the height of the fall, the surface landed on, and how the body impacts that surface. The present study was conducted to assess patterns of head injury caused by falling from heights. Materials & Methods:56 deceased of both genders were recruited for the study. For head injuries, on dissection of head, scalp, dura, vault, and base of skull were examined. Brain was dissected carefully to look for all kind of haemorrhages. Results: Out of 56 patients, males were 26 and females were 30. Head injury was scalp contusion in 14, skull fracture in 25, base of skull fracture in 16, brain laceration in 5, intracranial haemorrhage in 41, and facial bone fracture in 13 patients. Intracranial haemorrhage was sub dural haemorrhage (SDH) in 2, SDH+ subarachnoid haemorrhage (SAH) in 51, SDH+SAH+ extra dural haemorrhage (EDH) in 2 and SAH+SDH+EDH+ intra cerebral haemorrhage (ICH) in 3 patients. Spinal injuriesincluded lumbar in 2, multiple in 7, sacral in 5, thoracic in 11 and cervical in 9 patients. The difference was significant (P< 0.05). Conclusion: When people fall from heights, the most common cause of death appears to be cerebral injuries, including subarachnoid and subdural hemorrhages.