Background: Metopic suture results when two halves of frontal bone fail to fuse. It is often misdiagnosed as skull fracture in trauma cases. Knowledge of various patterns of metopic suture helps clinicians in proper management of trauma cases. The present study was aimed to find the pattern of metopic suture in adult skulls at Department of Anatomy, RIMS, Ranchi Methods: The present descriptive study was carried out in the department of Anatomy, RIMS, Ranchi between 2011-13. 105 skulls available at the department were studied for presence of metopic suture and its type. Results: 2.85% skulls showed metopism while 11.43% had incomplete metopic suture. Mean length was12.13 cm. Knowledge of pattern of metopic suture is essential for proper management of trauma cases.