Background: Coronary artery disease is the most prevalent type of cardiovascular disease. The most common heart disease both in India and in the united states is atherosclerosis, which is an abnormal accumulation of lipids or fatty substances and fibrous tissue in the vessel wall. These substances create blockages or narrow the vessel in a way that reduces blood flow to myocardium.The present study was conducted to assess the level of knowledge on diet among patients with CAD. Objective: To assess the level of knowledge on diet among patients with CAD at tertiary care hospital. Materials and Methods: Descriptive cross sectional design and convenient sampling technique was followed which included 200 samples were used. Data was collected using structured questionnaire, a point Likert scale & check list items. Data analysis was done with SPSS. Results: Out of 200 samples, 62.5% were had inadequate knowledge. The mean age of the subjects were for knowledge statements mean knowledge score was 58.87 and the standard deviation was 12.68 and for check list items mean knowledge score was 11.49 and the standard deviation was 38.5 + 18.2, majority were males (61%) and illiterates (40%). Common reasons for inadequate knowledge were lack of awareness on various aspects of CAD diet, cost and ignorance. Conclusions: The nurse plays multi-tasks in providing care for the patients. So, the nurses need to identify the level of knowledge and need to educate them on various aspects of diet for CAD clients, to prevent the complications of coronary heart disease.