Introduction: India's traditional culture of abstinence from alcohol is facing challenges with the rapid proliferation of alcohol-related establishments and changing lifestyle choices. Alcohol consumption is a growing public health concern globally, associated with various health issues and socioeconomic consequences. Despite its significant impact, alcohol misuse has not received adequate recognition as a public health issue in India. This study aimed to investigate the prevalence of alcohol consumption and its associated risk factors in the rural field practice area of RIMS, Raichur, which is an underexplored region in the context of alcohol use. Methods: A cross-sectional study was conducted over six months, starting in January 2022, and involving 512 individuals in the rural field practice area of RIMS, Raichur. A multistage proportional sampling method was employed, and a semi-structured questionnaire was used to collect data on socio-demographic factorsand alcohol-related behaviors. Participants aged 30 and above, residing in the study area for at least one year, and willing to participate were included. Pregnant women were excluded for ethical reasons. Results: The study found that 18.20% of the participants reported alcohol consumption, while 81.80% abstained from alcohol. Age, gender, occupation, and education were significant determinants of alcohol consumption. Individuals aged 30-40 had the highest prevalence of alcohol use (22.73%), with males being more likely to consume alcohol (14.61%) than females (3.59%). Unskilled workers (10.32%) and illiterate individuals (14.04%) had higher rates of alcohol consumption. The study also revealed associations between alcohol use and health-related factors such as diabetes (51.9% prevalence among participants with diabetes), tobacco use (48.23% prevalence among tobacco users), BMI status, and physical activity levels. Conclusion: This study contributes valuable insights into the prevalence and risk factors of alcohol consumption in a rural context, shedding light on the extent of alcohol use in this underrepresented region. The findings emphasize the need for targeted public health interventions and policies to address the specific challenges posed by alcohol use in rural India. Understanding these patterns can help promote responsible alcohol use and mitigate potential health and social consequences in rural communities.