Snake envenomation is a significant but neglected tropical disease, particularly affecting rural areas in India. This cross-sectional study investigates the patterns of snakebite incidents and the distribution of victims treated at a rural tertiary care hospital in Bagalkot, Karnataka. The study aims to assess the demographics, snake species involved, timing, and circumstances of bites, along with the treatment outcomes. Data from 318 cases over a five-year period (2017-2022) were collected and analyzed. The results highlight that snakebites disproportionately affect agricultural workers and occur more frequently during rainy seasons and active daytime hours. While multivalent antivenoms are the primary treatment method, there are notable limitations due to the diversity of venomous species, which current antivenoms may not fully cover. The study emphasizes the need for improved diagnostic methods, region-specific antivenoms, community health education, and better preventive measures to reduce morbidity and mortality related to snakebites.