This retrospective study aimed to identify predictors of neurological status, assessed using the Modified Glasgow Coma Scale (MGCS), and predictors of complication development in cats presented after falls from height. Archived medical records of cats admitted to the Atatürk University Faculty of Veterinary Medicine Animal Hospital were reviewed. Of 420 suspected high-rise fall presentations, 174 cases met inclusion criteria requiring documented fall height, complete admission MGCS component scores, and sufficient clinical and diagnostic information. Demographic variables (age, sex, neuter status, breed category, body weight), environmental variables (landing surface), and fall height (floors) were retrieved. Multivariable linear regression analysis was used to evaluate independent associations with admission MGCS score, and multivariable logistic regression analysis was used to determine risk factors for the presence of ≥1 complication. The median fall height was 4 floors (range 1–8), and the median MGCS score was 18 (range 3–18); 85.1% of cats had moderate neurological impairment. Complications were recorded in 87.4% of cats and most commonly seen complications were hindlimb fractures (37.9%), respiratory abnormalities (29.3%), and head trauma (27.6%). No demographic or environmental variables were significantly associated with MGCS score, and fall height showed only a non-significant trend toward lower MGCS (β = –0.29, p=0.10). In contrast, fall height was the sole independent predictor of complication development (OR= 1.62, 95% CI 1.14–2.31, p=0.008). In conclusion, the fall height primarily predicts overall injury burden rather than neurological impairment, supporting comprehensive trauma evaluation regardless of apparent neurological stability.