Background: Pre-eclampsia, a hypertensive disorder of pregnancy, is a major contributor to maternal and perinatal morbidity and mortality worldwide, particularly in low-resource settings. This study aims to evaluate public awareness, knowledge, and understanding of pre-eclampsia among the general population of Chamba to identify gaps and inform health education initiatives.Materials & Methods: A descriptive, cross-sectional study was conducted among 400 participants from Chamba district over three months (August–October 2024). A pre-validated structured questionnaire was used to collect data, encompassing socio-demographic details and 20 multiple-choice and true/false questions assessing knowledge of pre-eclampsia symptoms, risk factors, complications, and preventive measures. Data were collected through online and in-person surveys and analyzed using Microsoft Excel and Epi Info V7. Knowledge scores were categorized as very good (>80% correct), good (60–79%), fair (41–59%), and poor (<40%).Results: The study revealed a gender-balanced population (54% females, 46% males) with the majority aged 26–35 years (34%). Educational levels ranged from no formal education (12%) to postgraduate degrees (9.5%), and 64.5% of participants were rural residents. Awareness levels were promising in areas such as identifying pre-eclampsia as a hypertensive disorder (74%) and recognizing the importance of blood pressure monitoring during pregnancy (79.5%). However, knowledge gaps were evident regarding proteinuria as a diagnostic criterion (61%) and preventive roles of lifestyle changes (64%) and calcium supplements (59.5%). Knowledge scores showed that 24% had very good awareness, 34% had good awareness, 30% had fair knowledge, and 12% demonstrated poor understanding.Conclusion: This study highlights foundational awareness of pre-eclampsia in Chamba but identifies significant gaps in technical knowledge and preventive strategies. Community-centered educational initiatives focusing on improving understanding of risk factors, diagnostic criteria, and preventive measures are critical for empowering individuals and enhancing maternal health outcomes.