Introduction: Hemorrhagic stroke is rupture of blood vessel in focal region of the brain and spills of blood in surrounding area of brain parenchyma. The low- and middle-income countries experience 80% mortality rate among all hemorrhagic stroke. Although the association of Hemorrhagic Stroke with Hypertension, Smoking and Alcohol consumption are well establish, the association between lipids and hemorrhagic stroke has not been well investigated so far. Aim of the study: The aim of the study was to investigate the association of Serum lipids levels with hemorrhagic stroke in a tertiary care hospital of Bangladesh. Materials & Methodology: This cross-sectional study was conducted in the department of neurology in Enam medical college hospital, Dhaka, Bangladesh. Data was collected between April 2019 and May 2020. Seventy two cases with hemorrhagic stroke were randomly included. Appropriate statistical methods were used to analyze the results. Data were analyzed using SPSS 20.0 version (Chicago, Inc., USA) software and MsExcel-2016 version. Result: From 72 study people we found highest 22(30.6%) in the range of 60-69 years. There were 46(63.9%) males and 26(36.1%) females were enrolled in this study. Hypertension was found in 80.6% study people. The univariate analysis was done to see the association of lipids with Hemorrhagic Stroke. It has been obsereved that, the Total cholesterol and Serum Triglyceride level were low among the cases of hemorrhagic stroke. We found strong association in hemorrhagic stroke with Total cholesterol and Serum Triglyceride of serum lipids. Conclusion: 60-69 age ranges people had faced this stroke the most and males are predominant. The low level of serum total cholesterol and triglycerides may intensify the of risk hemorrhagic stroke.