Aim & Objective: To study the maternal and fetal outcome in twin pregnancy with single intrauterine fetal demise. INTRODUCTION: Single fetal loss of a twin pregnancy during the first trimester is not an uncommon event and seems not to impair the further development of the survival one and In contrast, the death of a twin in the late second or third trimester of pregnancy is a rare obstetric complication associated with increased maternal and fetal morbidity and mortality[1]. This might pose management challenge to the obstetricians. It is a cause of great concern and psychological stress to the patient and her relatives[3]. single intrauterine fetal demise in the second and third trimesters places the co-twin at substantial risk, including preterm delivery and associated comorbidities of prematurity such as pulmonary hypoplasia, necrotizing enterocolitis, long-term neurological complications, and neonatal death [2]. Maternal coagulopathy has been reported to occur in 3-5 weeks following fetal death. So, maternal clotting profile should be reassessed every 2-3 weeks when the fetal demise occurs after first trimester[3]. In this article, we are going to present 2 cases of twin gestation with single intrauterine fetal demise where one case was delivered immediately on admission and the other case was managed conservatively and delivered after the patient goes into spontaneous labour. Conclusion: The primary concern for single fetal demise in a twin pregnancy is its effect on the surviving fetus and mother. Regular antenatal care and routine ultrasonography in pregnancy are needed to make a diagnosis. Close monitoring of the wellbeing of the surviving twin and coagulation profile of the mother are crucial to manage possible complications. Proper counselling and management will result in a successful outcome.