Abstract : Spontaneous non-traumatic intracerebral hemorrhage (ICH) constitutes about 10–15% of all strokes and has a high mortality of approximately 40% at 1 month. Identifying the factors associated with mortality may improve survival rate and avert patients many complications. To evaluate the routine blood count finding in ICH patient, in relation to with clinical outcome. This is a case series prospective study included 60 patients who presented with diagnosis of ICH. Clinical data, and laboratory investigations were gathered from patient’s records. Radiological parameter was also registered with aid of expert neurologist looking for site and size of bleeding. Fate of the patient was monitored according to neurologist opinion and categorized as complete recovery, or death within first 30 days of presentation. Outcomes were defined within 30 days of presentation and revealed that 13 patients (21.67%) died. The site of hemorrhage was Intraventricular hemorrhage (IVH) in 61.54% of non-survived patients compared with 23.40% among survived patients with a highly significant difference (p= 0.009). Mean hemoglobin (Hb) concentration in survived patients was 13.58±1.83 g/dl, which was s higher than that of non-survival patients (12.03±1.52 g/dl) with a highly significant difference (p= 0.007). In contrast, mean platelet lymphocyte ratio (PLR) in non-survived patients was 271.89±113.93 which was significantly higher than that of survived patients (214.97±140.11) (p= 0.033). Hb level (< 12.85 g/dl) and high PLR (> 249%) may predict high mortality rate in patients with ICH.