Ventricular Arrhythmia is the most common cause of sudden cardiac death in patients having dilated cardiomyopathy.Once disease is recognized appropriate risk stratification for sudden cardiac death in patients needs to be done using clinical judgment and investigations.Appropriate and early patient risk stratification and treatment would significantly reduce mortality and morbidity.In addition to compassionate medical care, management of patients having ventricular arrhythmia with dilated cardiomyopathy needs intensive medical therapy, implantable cardiac defibrillator implantation and occasionally radiofrequency ablation.Treatment needs to be individualized depending on the patients condition and poses a challenge for the treating physician.