Background: Medico-legal cases (MLCs) play a crucial role in the intersection of medicine and law, often involving incidents of trauma, poisoning, assault, and other medico-legal concerns. Understanding the frequency and patterns of these cases can inform hospital protocols and legal proceedings, ensuring better management and resolution. Aim: This study aimed to analyze the frequency and pattern of medico-legal cases reported at Civil Hospital over a one-year period, providing evidence based insights to improve medical and legal responses. Methods: A retrospective observational study was conducted at Civil Hospital from March 2023 to February 2024. The study included a total of 90 MLCs reported during this period. Data were collected from hospital records, including patient demographics, nature of the medico-legal incident, and outcomes. Statistical analysis was performed to identify trends and patterns. Results: The study population consisted of 90 cases, with a mean age of 35.2 years (range: 18-65 years). The majority of the cases were male (70%). The most common types of medico-legal cases were related to trauma (45%), poisoning (25%), and assault (20%). Other cases included road traffic accidents (5%) and occupational injuries (5%). Peak incidence was observed during the summer months. The outcomes varied, with 60% of patients recovering fully, 30% sustaining long-term effects, and 10% resulting in fatalities. Conclusion: The study highlighted the significant prevalence of trauma-related medico-legal cases at Civil Hospital, with males being disproportionately affected. Seasonal trends were observed, indicating a higher incidence during summer. The findings underscore the need for targeted interventions and resource allocation to manage peak periods and improve patient outcomes.