Objective: Hypertension and Type 2 Diabetes Mellitus (T2DM) often coexist, significantly increasing the risk of cardiovascular complications and mortality. Understanding the risk factors and clinical profile of hypertensive patients with T2DM is crucial for early intervention and effective disease management. Therefore, this study assessed the clinical symptoms associated with T2DM among hypertensive and non-hypertensive groups. Methodology: This cross-sectional study, conducted at a secondary care hospital, enrolled 400 type 2 diabetic patients (200 with hypertension and 200 without) using non-probability convenience sampling. The study duration was 6 months, from March 1st, 2024, to August 31st, 2024. Patients aged 40-70 years with a diabetes history of at least six months were included, while those with type 1 diabetes, pregnancy, secondary hypertension, major surgeries, or severe complications were excluded. Data were collected using a structured questionnaire and clinical assessments, including BMI, blood pressure, and laboratory tests. The Chi-square and t- tests were applied to assess group differences, considering p<0.05 statistically significant. Results: The study results indicated that the mean age was notably higher in hypertensive group (59.29 ± 15.54 years) than in non-hypertensive group (54.13 ± 14.83 years, p = 0.001). Psychological and gastrointestinal symptoms revealed that muscular pain or cramps in the legs or feet were significantly more prevalent in non- hypertensive group 193(96.5%) than in hypertensive group 169(84.5%), (p < 0.001). Increased thirst was observed more often in non- hypertensive group 109(54.5%) compared to hypertensive group 80(40.0%), (p = 0.004), and feelings of fatigue and weakness were also more frequent in non-hypertensive group 162(81.0%) than in hypertensive group 142(71.0%), (p = 0.019). Frequent urination was significantly more common in hypertensive group 112(56.0%) than in non- hypertensive group 40(20.0%), (p < 0.001).Conclusion: This study concluded that hypertensive patients with type 2 diabetes were generally older, heavier, and predominantly male, with higher BMI and mild edema compared to non-hypertensive patients. Significant differences were observed in urinary patterns, respiratory symptoms, and musculoskeletal complaints, while several neurological symptoms showed no significant differences between the groups.