Background: Stroke continues to be a leading cause of death and long-lasting disability worldwide. Ischemic stroke (IS) is more common, whereas haemorrhagic stroke (HS) is linked to a higher mortality rate. It is essential to comprehend the demographic, lifestyle, and clinical factors associated with effective prevention and management. Objective: This study aims to examine the demographic, lifestyle, and clinical risk factors related to IS and HS in patients admitted to a tertiary care hospital, as well as to evaluate stroke severity using the NIH Stroke Scale (NIHSS). Methods : A hospital-based observational study was carried out at a tertiary care facility. Data were gathered from patients diagnosed with either IS or HS. Factors such as age, gender, body mass index (BMI), smoking habits, alcohol consumption, hypertension, diabetes mellitus, coronary artery disease, anaemia, and menopausal history were assessed. Results: Among the total patients analysed, IS represented the majority of cases, especially in individuals over 60 years of age, while HS was more prevalent in the 46–60 age range. Males were more frequently affected in both subtypes. Overweight, hypertension, and diabetes were significant contributors to IS, whereas smoking, alcohol, and a normal BMI were more associated with HS. Hypertension emerged as a common critical factor for both subtypes. Conclusion: Hypertension, diabetes, and CAD are significant risk factors for IS, while lifestyle elements such as smoking and alcohol use are influential in HS. Prompt recognition of modifiable risk factors and the implementation of customised prevention strategies are vital for alleviating the stroke burden.