Hypothermia-related deaths are preventable and commonly occur in vulnerable populations. Several studies have been done on hypothermia related-deaths in major cities. However, the State of Maryland, and Baltimore City has had very little research done. The database of the State of Maryland Office of Chief Medical Examiner (OCME) in Baltimore City was searched for all fatalities related to hypothermia between 2018-2022. Factors including sex, race, age, alcohol and drug intoxication, natural diseases, homelessness, autopsy findings, scene locations, and temperature were analyzed.