Introduction: These days, acute aluminum phosphide (Alp) poisoning is a frequent toxicological issue in poor nations, particularly when there is no known remedy. The study's objective The goal of the current investigation was to analyze sociodemographic and clinical data of acute aluminum phosphide poisoned incidents that the Benha Poisoning Control Unit has accepted retrospectively & prospectively Patients and Methods: From May 2021 to May 2023, all patients hospitalized to Benha Poison Control Center with acute alpha poisoning were included in this study. Age, sex, and toxicological parameters were recorded for every patient. clinical assessment, standard laboratory tests, electrocardiography (ECG) finding, and the received treatment were also recorded Results: 200 patients with ALP poisoning were admitted during the research period. Suicidal ingestion was the commonest manner; most patients were from rural areas. Univariate and multivariate analysis revealed that po2, HCO3, pH and prothrombin time were found to be extremely significant predictors. for fatal outcome. Also, ventricular fibrillation and inverted T wave were significant fatal ECG finding predictors. In conclusion, the increasing accessibility of AIP pills in the market creates a convenient avenue for self-harm or perhaps homicide. Fatal outcome is common due to absence of specific antidote, temperature ,RBCs count, prothrombin time (PT), potassium level, and ECG findings are significant predictors of acute Alp outcome .