Aim: To study the clinico-etiologic profile of the critically ill geriatric patients admitted to the MICU. Materials and Methods: The present prospective observational study was conducted on 100 patients of age 60 years and above with dysfunction of at least two organ systems, admitted in medical intensive care unit of Dr DY Patil Medical College Hospital and Research Centre, Pimpri, Pune during the period from OCTOBER 2020– SEPTEMBER 2022. When determining the severity of a critical disease, the SOFA score system is utilized, and this evaluation takes place both upon admission and after 48 hours have passed.