Background: High-risk pregnancies significantly contribute to maternal and neonatal morbidity and mortality worldwide, particularly in rural areas where access to healthcare and awareness is limited. Understanding the community’s knowledge of high-risk pregnancy indicators is crucial for designing targeted interventions to reduce complications and improve outcomes. This study assesses the awareness and knowledge of high-risk pregnancy indicators among women in Kangra district, Himachal Pradesh.Material and Methods: A descriptive, cross-sectional study was conducted among 400 women aged 18–45 years in Kangra district. Data were collected using a pre-validated structured questionnaire comprising socio-demographic details and 20 knowledge-based questions on high-risk pregnancy indicators. Participants were categorized into knowledge levels: very good (>80%), good (60–79%), fair (40–59%), and poor (<40%). The data were analyzed using descriptive statistics and chi-square tests to explore correlations between knowledge levels and socio-demographic factors.Results: The study revealed that 63% of participants exhibited good to very good knowledge, while 26% scored fair, and 11% demonstrated poor awareness. Participants showed high awareness of the importance of antenatal care (79.5%) and risk factors like infections (79%), smoking (80%), and gestational diabetes (75.5%). However, gaps were noted in recognizing technical aspects, such as obesity (65%), twin pregnancies (69.5%), and prior cesarean deliveries (66%) as high-risk factors. Socio-demographic analysis indicated that women with higher educational attainment and urban residence scored better on knowledge assessments.Conclusion: While general awareness of maternal health practices was satisfactory, significant gaps in understanding specific high-risk pregnancy indicators were observed. Targeted educational interventions, community engagement, and enhanced healthcare accessibility are essential to bridge these gaps and ensure better maternal and neonatal outcomes in Kangra district.