Coronavirus disease 2019 cases in India continue to increase and are expected to peak over the next few weeks . Based on some projection models, India is expected to have more than 10 million cases by September 2020 . The spectrum of disease can vary from mild upper respiratory tract symptoms to life-threatening acute respiratory distress syndrome and multi-organ failure requiring intensive care . Even if less than 5% of patients require critical care services, this will still rapidly overwhelm the healthcare system in a country, where intensive care services and resources are scarce and unevenly distributed . In this perspective article, we highlight the critical care preparedness of India for the pandemic and the associated challenges.