Background and objective: As India being farming based country we often tend to see patients present to emergency department following Paraquat ingestion with intention of self harm. There is relatively less awareness about Paraquat poisoning in comparison to Organophosphate compound poisoning. Aims & Objectives: To find a clinical feature that can predict outcome, and specific intervention that can improve outcome in Paraquat (PQ) poisoning cases. Methods: 30 patients with history of Paraquat consumption admitted at Dr PSIMS & RF, hospital during the time period December 2016 to December 2018. Results: Of the 30 patients 21 were male and 9 females. 2 of the patients survived following poisoning while 28 expired. Paraquat dichloride 20% was the compound consumed commonly. High anion gap metabolic acidosis (HAGMA) was seen in all the patients. 12 (40%) patients underwent hemodialysis and 10 (33.3%) were mechanically ventilated. Conclusion: Study showed high mortality in Paraquat poisoning.