Introduction: Preeclampsia is a common cause for antenatal admissions. Presentations of preeclampsia from mild gestational hypertension to severe preeclampsia are known to have a sudden onset. We present two cases of severe hypertension in pregnancy. Case 1: A 32 year old primigravida having uneventful antenatal period presented at 30 weeks with sudden onset of pedal edema and breathlessness since 4 days. On examination she was orthopneic, tachypneic, hypoxic (spO 84%) with 2 tachycardia and blood pressure was 170/110 mm Hg. Bilateral pitting pedal edema and facial puffiness was present. She also had gained weight of 5 kg in 2 weeks.