Hypertension is frequently undiagnosed during its early stages, which has led to its characterization as a “silent killer.” Uncontrolled hypertension may contribute to an increased risk of stroke. In hypertension management, self-awareness represents a crucial aspect, as it reflects an individual’s capacity to recognize and regulate their behavior, including dietary patterns as an important form of health behavior. This study was conducted to analyze the relationship between self-awareness and dietary patterns among patients with hypertension in relation to stroke incidence at Sultan Imanuddin Regional General Hospital. An observational analytic method was applied within a quantitative research framework using a cross-sectional design. The study involved 124 respondents who were selected through purposive sampling. Data analysis was performed using the Chi-square test and Spearman’s rank correlation test. The findings indicated that a small proportion of respondents had adequate self-awareness, comprising 9 respondents (7.3%), while 18 respondents (14.5%) had adequate dietary patterns and 6 respondents (4.8%) had poor dietary patterns. The Chi-square and Spearman’s rank correlation tests yielded p-values of 0.000 and 0.000, respectively, with a correlation coefficient of 0.625. These results demonstrate a significant relationship between self-awareness and dietary patterns among patients with hypertension and stroke incidence. The findings further indicate that enhancing self-awareness and maintaining healthy dietary practices may support efforts to prevent stroke among patients with hypertension at Sultan Imanuddin Regional General Hospital.