Background: A significant number of physical assault cases in Indonesia do not proceed to court, despite victims undergoing forensic medical examinations. The Visum et Repertum (VeR), a legal medical report describing a victim’s injuries, plays a crucial role in the judicial process. However, it remains unclear which aspects of the documented injuries are associated with the continuation of legal proceedings. Objective: To identify injury-related factors in Visum et Repertum that influence whether assault cases proceed to trial. Methods: A cross-sectional analytical study was conducted using secondary data from 67 Visum et Repertum reports of living victims of assault examined at Dr. Kariadi General Hospital Semarang between 2018 and 2022. Only cases with an official police request for VeR were included. Cases related to traffic accidents, psychological violence, domestic violence, or with incomplete documentation were excluded. Bivariate and multivariate analyses were performed to assess the association between injury characteristics and case continuation to trial. Results: Among 67 cases, only 11 (16.4%) proceeded to court. Injury severity (p<0.001; r=0.557) and the type of medical intervention (p<0.001; r=0.440) were significantly associated with case continuation. Other variables, such as age, gender, wound type, number of wounds, wound size, and perpetrator-victim relationship, showed no significant associations. Severe injuries had the strongest influence on trial continuation (OR=222.0; p<0.001). Conclusion: Injury severity and medical interventions recorded in the Visum et Repertum are key predictors of whether assault cases proceed to court.