Background: Alcohol consumption produces a wide spectrum of hepatic diseases, including fatty liver, alcoholic hepatitis, and chronic hepatitis with liver fibrosis or cirrhosis. Neutrophil lymphocyte ratio (NLR) is an easily measurable laboratory marker that is used to evaluate systemic inflammation and is used as a marker to assess the severity of the disease. Methods: The study involved subjects aged > 40 years of age who were admitted to a tertiary care center. This study was conducted on 100 patients who were consuming alcohol and were divided into two groups based on the duration and amount of alcohol consumed.