Background: Stroke is the second leading cause of death worldwide, and the leading cause of acquired disability in adults in most regions. Countries of low? and middle?income have the largest burden of stroke, accounting for more than 85% of stroke mortality worldwide. Aim: The aim of this study was to compare between haemorrhagic stroke (HS) and ischaemic stroke (IS) stroke in relation to risk factors and clinical presentation among stroke patients admitted to a tertiary care teaching hospital. Method: A Retrospective Cross-Sectional study was conducted in FIMS, Kadapa, a 300 bedded tertiary care teaching hospital. The sources of data was collected from patient document forms. The data collected from the prescriptions was entered in data collection forms for evaluation.  Result: 60 stroke patients were categorized based on age, gender, occupation and risk factors like(hypertension, diabetes mellitus, smoking, alcohol etc) Out of 60 stroke cases, 43(71.6%) patients have hypertension as a risk factor(25- ischemic and 18- haemorrhagic), 21(35%) patients have diabetes mellitus as a risk factor(17- ischemic and 4- haemorrhagic), 19(31.6%) patients have smoking as a risk factor (12- ischemic and 7- haemorrhagic ), 16 (26.6%)patients have alcohol as a risk factor ( 11- ischemic and 5- haemorrhagic). Conclusion: We concluded that, old age, diabetes mellitus and smoking were more frequent among Ischemic stroke than hemorrhagic stroke patients. While Hypertension and smoking were found to be major risk factors in hemorrhagic stroke than ischemic stroke patients. Impaired consciousness including coma and in?hospital fatality was more among HS than in IS patients.