Its well said in medical literature that determining the difference between natural & to unnatural cause is herculean task even for the Forensic Pathologist. Legality involved in deciding cause of death, as unnatural is not only difficult job to Doctor at the same time even to law enforcing agencies. Here is such a case encountered by author where the case was brought with history of Hanging while during autopsy along with signs of Hanging there were morbid autopsy findings of Coronary artery narrowing to the extent of 90-95 %. The paper is intended to create awareness of such cases to medical fraternity & legalities involved in certification as to cause of death & Manner of death.