Background:Stroke is characterized by acute onset of focal neurological deficit lasting 24 hours or longer. With the increasing incidence of hemorrhagic stroke in Indians, the use of biochemical markers like Ferritin can predict outcome. This study was undertaken to study level of Serum Ferritin levels in patients with acute hemorrhagic stroke and it association with the outcome. Materials and Methods: This was a hospital based cross sectional observational study with 90 patients with acute hemorrhagic stroke admitted into the Department of Medicine, JMCH since 1st July 2020 till June 30th 2021. All the patients subjected to investigations and inclusion and exclusion criteria. Equal number of age and sex matched healthy individuals were included in the study as control Results: In this study the mean age group with Acute Hemorrhagic Stroke was 63.3 +-7.2 years. Of the total cases 57 were males (63.3%) and 33 female (37.7%). Hypertension was the most common risk factor associated present in 67.8% patients which is 53.3. The most common site of bleed was the basal ganglia. The mean serum Ferritin value was 333.44 +92.12ng/ml in patients with acute hemorrhagic stroke .The serum ferritin values correlated with the hematoma volume and higher values were associated with increased mortality . Conclusion: In the study Serum Ferritin values were significantly higher 445.29+-97.70 ng/ml (p value<.001) in patients which deteriorated and showed a positive correlation.