Abstract : T h e current s t u d y aims to as s e s s the s e r u m h s- C R P l e v e l s a n d c l i n i c a l p r o f i l e of p a t i e n t s a d m i t t e d w i t h h yp e r t e n s i v e c r i s i s. Patients with blood pressure more than 180/120mm Hg and fulfilled the inclusion criteria were selected in each arm (30 patient) of study group from our hospital. The parameters such as serum hs-CRP, type of organ damage, and relevant parameters were collected for statistical analysis. Clinical features, s e r u m h s-C R P (higher levels) and end organ damage w a s found to be s i g n i f i c a n t in h yp e r t e n s i v e emer g e n c y g r o u p when c o m p a r e d to h yp e r t e n s i v e u r g e n c y g r o u p but other demographic data were not significant. Hence, the study concluded that hypertensive emergency is significantly associated with higher hs-CRP levels, higher admitting blood pressure non compliance of medication.