Death by hanging may be suicidal, accidental or homicidal. General external appearances, local external neck findings, neck autopsy and neck histological changes play a major role in differentiation between types of hanging. Aims & Objectives: Differentiation among suicidal, homicidal and accidental hanging by using different diagnostic methods including naked eye examination, neck autopsy, examination of neck structure, and histopathological features of the neck structures at the ligation mark site. Subjects and Methods: the study was carried out from March 2018 to March 2019, with 36 cases of deaths due to hanging divided into: Group 1 (18 cases): suicidal hanging, Group 2 (13 cases): homicidal hanging and Group (5 cases): accidental hanging. A thorough external and internal examination of neck structure was performed in all the cases. Results: Suicidal hanging, associated with female sex, was detected in 57.1% of cases. Homicidal and accidental hanging, significantly associated with skin hemorrhage, was detected in 80% of cases. Microscopic examination: Breaking, wrinkling and compression of the skin along with micro hemorrhages in the subcutaneous tissues were notified more commonly with homicidal hanging. Conclusion: The examination of corpse in hanging cases becomes easy by correlating current observation with the autopsy finding. The correlation of external, internal and microscopic findings leads to easy formulation of final opinion of these cases. It also, to some extent helps to differentiate between types of hanging. Keywords: Hanging; suicidal; homicidal; accidental.