Blood pressure management is crucial in both intracerebral hemorrhage and acute ischemic stroke. To optimize patient outcomes, intensivists should aim to keep systolic blood pressure in intracranial hemorrhage below 140 mm Hg. In acute ischemic stroke, treatment is recommended for blood pressure above 220/110 if no intervention of thrombolytics is planned. For patients eligible for intravenous alteplase therapy, maintaining a goal of less than 185/110 prior to thrombolytic therapy and below 180/105 after thrombolytic therapy or in cases of thrombectomy is recommended by guidelines. By following these guidelines, intensivists can provide the best possible care for patients with intracerebral hemorrhage and ischemic stroke.