Background: COVID-19 is a current global pandemic caused by the newly discovered novel SARS-COV-2. According to studies, patients who have died thus far were older, more likely to be male, and to have a comorbidity such as hypertension, diabetes, cardiovascular disease, or lung disease thus necessitating the assessment of risk variables in various demographic groups or contexts. Aims: 1.To estimate the proportion of different outcomes such as recovery, hospitalization, and mortality among home isolated covid-19 patients, 2. To estimate the proportion and to determine various risk factors associated with COVID-19 adverse outcome. Methodology: The study was carried out in Shimoga Institute of Medical Sciences, Shivamogga, Karnataka. Data was collected by telephonic Interview. Study design: Longitudinal retrospective study. Study Population: Home isolated COVID-19 patients . Inclusion criteria: All COVID-19 patients registered in triage of Mcgann hospital, during April 20th-June 20th 2021. Exclusion criteria: People who did not consent, or were suffering from mental illnesses, or did not respond Study period: April 20th-June 20th, 2021. Sample size: 168. Sampling: All the patients who reported in Mcgann triage during April 20th-June 20th, 2021. Results: A total of 168 people participated in this study, with 93 men (55.3%) and 75 women (44.7%). More than 90% of patients in the Home Isolated Covid 19 patients recovered, 10.75% required hospitalisation, and 3% died. One third of the patients (37%) had one or more comorbidities. Conclusions: Our study shows that older age, male gender and comorbidities have higher hospitalisation rates. Comorbidities and older age were associated with a higher risk of death in hospitalised patients. Even though recovery rate is very high, a significant (10.75%) home isolated patients need hospital admission in the disease course. So, the proper monitoring of home isolated patients can save the lives of many COVID-19 patients.