Introduction: Changing lifestyle in the present era is engulfing the youth in risky behavioural practises prepondering themselves to the morbidities once thought of old age.Tobacco intake is one of these risk factors. The aim of the study was to estimate the prevalence and pattern of tobacco use among young adults (15 to 24 years) attending a tertiary care centre of Central India. Methods: One to one interview was conducted with the participants who consented. Tobacco use was categorised as ever used, current use or never used. Results: A total of 954 participated in the study with a mean age of about 19 years. About 30% of the participants had ever used any tobacco product while 16% were current users, initiating it at around 12- 13 years of age. Use was higher among males while females were exclusively using smokeless tobacco products. Among smoked form cigarette (64%) is the most consumed product while hooka is the least (7%). Kharra is the most commonly used smokeless tobacco product. Conclusion: Use of tobacco products among youth is rising and becoming a major public health concern. The habit of tobacco use starts usually from the initial years of adulthood, targeted efforts must be directed towards our youth so as to avert them