PURPOSE Animal bite injuries are common hospital presentations in Australia. Bite injuries are associated with high complication rates, and remain a significant burden on the healthcare system. We define the rates of animal bite injuries and their outcomes in the Top End of the Northern Territory. METHODOLOGY A five-year retrospective analysis of patients with animal bite injuries admitted to the Department of Plastic Surgery in the Top End of the Northern Territory. Cases between and including January 2014 and December 2018, were analysed. RESULTS A total of 369 animal bite injuries were identified. Most patients were male (n=243, 66%), identified as Indigenous (n=205, 56%), from rural/remote area (n=189, 51%), with a mean age was 33 years. Bite injuries made up 0.83% of all cases admitted to the department over the five year period. Human bites were most common (n=181, 49%), followed by dog bites (n=143, 39%), cat bites (n=14, 4%), crocodile (n=9, 2%), cattle (n=7, 2%), and other animal bites (collectively n=15, 4%). 69 (19%) cases did not receive complete treatment due to patient self-discharge. Median length of stay was 2.17 days. CONCLUSION Animal bite injuries remain a preventable public health issue. The epidemiology of animal bite injuries in the Northern Territory differs in comparison to published rates across other states and territories in Australia. Measures to prevent animal bite injuries need to consider the demographic and geographical challenges unique to the Northern Territory