Abstract The disease burden of severe neurological and neurosurgical illnesses in low-income and middle-income countries (LMICs) is high. Management of these patients by a dedicated neurocritical care team can improve outcome. Globally, there is significant variation in organization, structure, and outcome of patients with neurocritical illnesses. This consensus statement aims to contextualize the standards for neurological critical care units (NCCUs) in LMICs. Recommendations were made about organization and infrastructure, personnel, logistics, training, education, and process for developing neurocritical care program appropriate for LMICs. Methods: The steering committee for the consensus statement was formed under the leadership of SNCC. With permission from NCS and the NCS guidelines committee, the previously published standards for NCCUs by NCS was used for a web-based survey. The Delphi method was used to gather consensus. A total of 30 experts from 21 regions, all from LMICs, participated in the survey. Feedback was formally collated, reviewed, and incorporated into the final document.