Insight is a problem that afflicts a large portion of people with psychiatric disorders. Therefore, this study aimed to assess the levels of insight and severity of psychotic symptoms among psychiatric patients and determine the relationship between insight and severity of psychotic symptoms among psychiatric patients. A descriptive correlational design was used in the study. This study was conducted at the inpatient unit at Bani- Ahmed psychiatric hospital in Minia governorate. Three tools were utilized to measure the variables of the study: Personal and Medical data Questionnaires, Brief Psychiatric Rating Scale and Insight Scale. Results: revealed that, 80.8% of the studied patients had moderate severe psychotic symptoms. The severity of symptoms increased in females, those who resided rural area, widowed and divorced patients, also, increased among schizophrenia, depression and mania respectively. Moreover, 50.8% of the studied patients had lack of insight and there was negative weak significant correlation among symptoms severity and insight Conclusion: The majority of the studied patients had moderate severe psychotic symptoms and more than half of the studied patients had lack of insight. Poor insight was associated with greater psychiatric symptoms severity Recommendations: psycho-educational programs are recommended to improve patient's insight.