In ancient times, humans used animals for transport, which was tedious and tiring. To overcome this, vehicles such as bullock carts, bicycles, tricycles, motorcycles, cars, and trains were invented for faster travel. However, this led to road traffic accidents, causing significant mortality and disability globally. This study analyzes patterns of skull fractures from two-wheeler accidents in terms of site, situation, number, size, severity, and extent, aiding reconstruction of cause and manner of death. The findings aim to assist law enforcement and policymakers in implementing road safety measures and trauma care systems, even in remote areas. Early intervention and referral can improve fatality outcomes. © 2023 Elsevier B.V., All rights reserved.