Introduction: Patients with cerebral palsy (CP) frequently manifest oral ingestion problems ranging from mild to severe. These problems lead to the development of malnutrition in CP children. Objective: The objectives of our study were to assess nutritional status, feeding patterns, and associated difficulties in children with Cerebral Palsy . Methodology: A cross-sectional study was conducted between April 1, 2025, and 01 December 2025, at a tertiary-care teaching hospital in Eastern India among children aged 1 to 14 years diagnosed with cerebral palsy . Perceptions of parents regarding feeding patterns and difficulties were assessed using a structured questionnaire. Results: Among the 330 study participants, 202 (61.2%) children were under 5 years of age, and 128 (38.8%) children were between 6 and 14 years of age. Constipation, seizure and pallor were observed in 146 (44.2%), 124 (37 .6%), and 142 (43.0%) children, respectively . On reviewing parental perceptions, swallowing or chewing difficulties were observed in 43% of children. Underweight, wasting, and stunting were observed in 221 (67%), 65 (29.3 %), and 172 (52.1 %) of children with CP. Low birthweight (p< 0.018), seizure (p< 0.001), and GMFCS IV-V levels (p