Intracerebral haemorrhage (ICH) is associated with increased mortality in cases of stroke. Studies regarding profile of spontaneous ICH and its effect on outcome are limited. The present was aimed at assessing the clinical profile and its effect on outcome of spontaneous intracerebral haemorrhage. Materials and Methods: The present prospective study was conducted upon 417 patients of SICH admitted in a medical college. Details regarding clinical profile, radiological findings and outcome using mRS score were obtained. Results: Mean age was found to be 62.4±10.4 years. 65.5% were males. 31.9% of the patients died within three months follow-up period. Hypertension, smoking and history of irregular treatment were significantly associated (p<0.05) with mortality. GCS score at admission and ICH score of 4 and above were associated with higher mortality. 24.5% patients had good outcome at discharge as per mRS score which increased to 44.8% at three months. Conclusion: Vomiting, altered sensorium, lower GCS score and high ICH are associated with increased mortality in cases with spontaneous intracerebral haemorrhage.