The combination of repeated neurological assessments with neuroimaging is paramount to contemporary neurocritical care. While alternative neuromonitoring methods are gaining importance, the skill to swiftly and accurately analyze images within the patient’s clinical context remains crucial for neurocritical care specialists. Computed tomography (CT) stands out as the most valuable neuroimaging modality for intensive care unit (ICU) patients due to its rapid imaging speed and effectiveness in identifying conditions like intracerebral hemorrhage (ICH) and cerebral edema. Head CT scans are essential for making time-sensitive decisions in the neurological ICU (NICU). They play an important role in the evaluation of neurological disorders like traumatic brain injury (TBI) and subarachnoid hemorrhage (SAH). Magnetic resonance imaging (MRI) offers detailed images beneficial for detecting conditions like ischemia and aids in neuroprognostication, particularly for patients stable enough to undergo the procedure. Nuclear medicine imaging techniques, commonly used in neurocritical care research, have clinical utility in supplementary brain death evaluations. Furthermore, point-of-care ultrasound studies are increasingly employed in the NICU setting, enhancing the neurointensivist’s diagnostic capabilities and patient care quality during transportation for radiological assessments.