Background: Delirium tremens is one of the severe complications of alcohol withdrawal syndrome which is associated with a high morbidity and mortality. Material and methods: A prospective cross sectional study was conducted, Department of Psychiatry, at Darbhanga medical college and Hospital, Darbhanga. for a period of one year , A total of 160 cases that were referred to psychiatry department with alcoholdependence syndrome were assessed and 153 cases were included for the final analysis after taking written informed consent. Conclusion: The prevalence of DT in cases with alcohol dependence syndrome was21% in the patients admitted in a general hospital setup for alcohol de-addiction. Occurrence of withdrawal seizures and higher scores on CIWA-Ar predicated the occurrence of DT in the current sample.