There are patients with intracerebral hemorrhage (ICH) who present with blood pressure (BP) values below the standard treatment threshold recommended by the American Heart Association/American Stroke Association (AHA/ASA; systolic < 150 mm Hg). Specific data on this category of ICH patients is, however, scarce. In this study, we looked at the proportion of ICH patients who present with systolic BP < 150 mm Hg, their clinical/radiological features, initial severity and discharge outcomes. We determined that ˜ 1 in 10 ICH patients presents with systolic BP < 150 mm Hg, and the majority are lobar. Moreover, presentation with systolic BP lower than the standard treatment threshold has no association with initial severity or discharge outcomes.