Objective: The objective of this study was to explore the patterns of maxillofacial fractures associated with assaults among male patients in Khamis Mushait, Saudi Arabia. Methods: This study was a retrospective study conducted in Armed Forces Hospital Southern region(AFHSR) in Khamis Mushait City. The patients' records were investigated and full-detailed records were included. Demographic data as well as type, location and cause of the maxillofacial fractures were obtained. Results: A total of 215 patients' records were recruited for this study. Patients with age from 15 to 25 years were more than other age groups. Most of the patients were not Saudi citizens. About 68% of patients completed their primary school or were illiterates. Nearly half of the fractures (49%) were found in the dentoalveolar site. Mandible was more affected than maxilla. Left side was more affected than right side. Blunted injuries were more frequent among patients than penetrated injuries. Patients with age ≤ 35 years were more suspected to have fractures than those with older ages. Conclusion: Assault and violence can result in considerable maxillofacial traumas. Dentoalveolar fractures were the most common fractures. Young patients were more affected than elders. This problem should be taken as a general health problem and the actions should be taken to prevent further problems.