A 33-year-old Indian lady was brought to the hospital in an unconscious state by her husband, She was found hanging by using a saree which was attached to the bedroom fan. Her husband discovered her in the room when he went back for lunch, The clinical examination revealed that her Glasgow Coma Scale was 3/15, Abnormal facial movements and pale discolouration was noted. Ligature mark was noted around the neck with abrasion. Mechanical ventilation was instituted, CT scan of brain was done which showed no abnormality, Her condition deteriorated steadily and she died 15 hours later. On autopsy examination she was found to be 160 cm tall and thin, The floor of the ligature mark and the abrasion associated with it was of brownish discolouration. Apart from this light brown colour was seen in the lightly depressed ligature indentation above and below the main ligature mark, There was parchmentization internally underlying the mark. Internally, the meninges and brain along with the nasopharynx, larynx, trachea and bronchi were congested with inflammatory signs, The lumen of the respiratory tract was filled with large amount of mucus, The lungs were congested and consolidated, The pleural surface was red, Besides, the tongue and oropharynx were swollen, The findings of other organs were unremarkable. The cause of death was due hypoxic encephalopathy due to neck compression.