<h4>Background</h4>The red cell distribution width-to-albumin ratio (RAR) is a composite biomarker integrating inflammatory, nutritional, and stress status; however, its association with short-term prognosis in patients with intracerebral hemorrhage (ICH) remains unclear.<h4>Methods</h4>This study was a retrospective dual-cohort study. The gene discussed is ALB; the disease is intracerebral hemorrhage.