 This study examined the interplay of non-communicable diseases among older adults in India. It found that women had a higher burden of multi-morbidity than men, with hypertension, musculoskeletal disorder, gastrointestinal disorder, diabetes mellitus, and skin diseases being the most common diseases. Additionally, it identified certain disease combinations that were more likely to occur among women, such as hypertension musculoskeletal disorder, diabetes mellitus hypertension, gastrointestinal disorders hypertension, and gastrointestinal disorders musculoskeletal disorder. This study provides valuable insight into the interplay of non-communicable diseases among older adults in India, and can be used to inform public health policies aimed at reducing the burden of these diseases. This article was authored by Parvapuri and Srikanth Singh.