Background: The cross-sectional survey was conducted to assess and compare tobacco and alcohol usage among male medical and dental students among students belonging to dental and medical colleges in Davangere city. Materials and Methods: A self-designed questionnaire containing 20 close-ended questions was prepared to collect the required and relevant information pertaining to tobacco and alcohol consumption. The questionnaire was distributed among 400 students belonging to dental and medical colleges in Davangere city. Results: Among the 400 respondents, 48.5% were smokers and 45.75% of students were alcoholics. Among smokers, 55.70% were house surgeon students and 23.07% were 1 st year. Significant difference was found in the percentage of tobacco consumption among medical and dental house surgeon students. The main reason for smoking was examination preparation and workload. Among alcoholics, 51.67% were house surgeon students and 21.9% were 1 st year. The main reason for alcohol consumption was to get relief from tensions. Conclusions: Final year students and house surgeons had more influence of tobacco and alcohol consumption habits when compared to 1 st year students in both dental as well in medical college. Academic demand, work pressure, examination stress, and anxiety were found to be significantly influencing tobacco and alcohol habits among both medical and dental students.