The records of obese and nonobese victims of blunt trauma were compared to determine if obese individuals are predisposed to a specific injury pattern. Prospectively collected data on 6368 adults admitted to a level I trauma center over a 4-year period were analyzed. Twelve percent (743 patients) met Body Mass Index (weight/height²) criteria for obesity (≥30 kg/m²). The obese group was older (p < 0.01) and had lower ISSs (p < 0.05) and higher GCS scores (p < 0.01). More obese patients were injured in vehicular crashes (62.7% vs. 54.1% [p < 0.01]). The obese victims were more likely to have rib fractures, pulmonary contusions, pelvic fractures, and extremity fractures and less likely to have incurred head trauma and liver injuries (p < 0.05). Obese people injured in vehicular crashes had a similar injury pattern with no difference in seating position, direction of impact, seat belt use, and ejection.