Background: Controversy exists regarding how and to what extent portal hypertensive gastropathy (PHG) varies with different grades of liver dysfunction. Our aims and objectives were to assess the correlation of PHG with different grades of liver dysfunction. Materials and methods: Seventy (70) patients diagnosed with chronic liver disease (CLD) with gastrointestinal bleeding admitted to the Department of Medicine, R. G. Kar Medical College and Hospital, Kolkata were considered as the study group in this retrospective study design. Portal hypertension (HTN) was confirmed by endoscopic features and their history, clinical, hematological, and biochemical data. Patients with systemic disorders, such as diabetes, renal failure, septicemia, and congestive cardiac failure were excluded from the study. Endoscopically, it was found that 35 patients had congestive gastropathy (CG), while another 35 patients without gastropathy served as controls. The Child's Pugh scoring system was applied to assess the severity of liver dysfunction. Results: The prevalence of esophageal varices and CG were frequently observed in the patients with portal HTN in this study. Congestive gastropathy is more commonly located in the fundus and body (74.28%). Mild gastropathy (57.14%) is more commonly encountered than severe gastropathy (42.85%). The number of patients with bleeding episodes is found to be more in patients with PHG [34(97.14%)] compared with non-PHG group [28(80%)]. In patients with mild PHG, child's grade A was found in 2 (10%) cases, grade B in 13 (65%) cases, and grade C in 5 (25%) cases. In patients with severe PHG, child's grade A was found in 2(13.3%), grade B in 4 (26.6%), and grade C in 9 (60%) cases. Conclusion: Severe PHG was associated more with grade C liver disease (severe grade liver dysfunction). The correlation between severity of PHG and liver dysfunction was found to be significant. More studies are needed to enable one to predict which patients will develop PHG and which will bleed from it.