Background: Venous congestion is vital sign in critically ill patients, contributing significantly to morbidity and mortality but is often less acknowledged/under recognized. The Venous Excess Ultrasound Score (VExUS) has emerged as a promising tool for its identification and quantifica- tion. Methods: A prospective observational study was conducted on 260 patients admitted to the Intensive Care Unit (ICU). The VExUS scoring using bedside ultrasound was utilized to assess the prevalence of venous congestion. Patients were evaluated within the first 24 hours of admis- sion using a comprehensive ultrasound protocol. Results: The prevalence of venous congestion, as identified by the VExUS score, its correlation with clinical outcomes such as length of stay in the ICU, kidney function, and mortality rates were discussed. Conclusion: This study highlights the significance of VExUS score as a reliable method for the early detection of venous conges- tion in ICU patients thereby potentially guiding therapeutic interventions to improve clinical out- comes.