Severe head injury is leading cause of mortality and morbidity in Indian population especially among young men. Outcome prediction after severe head injury is very important especially for countries like India for better targeting of limited healthcare resources and implementation of specific methods of treatment to patients. This study was undertaken to assess prognostic factors and their association with outcome in severe head injury. This study is based on a prospective analysis of 100 patients admitted in emergency department of our hospital with severe head injury (Glasgow Coma Score ≤8). Basic demographic, clinical and radiological data at admission and during hospital stay were recorded according to Glasgow Outcome Score.Predicting outcome is an assimilative and integrative process of various pre–injury, injury and post–injury variables. CT scan should be done on urgent basis for planning further management.