Sri Lanka has underdeveloped specialist forensic mental health services. The country does not have a purpose-built forensic hospital or widespread community forensic services. Assessment of mentally ill offenders, prison mental health services, and providing reports to courts make up a significant portion of the work of generalist psychiatrists in the country. Specialist forensic psychiatric services are concentrated in several large cities. At present, there are only two forensic psychiatrists in the country. In Colombo, two wards located within the National Institute of Mental Health act as the forensic unit, and in Kandy and Galle, some beds within the regional psychiatry units are allocated for forensic patients. Prison mental health services are staffed and funded by the Ministry of Health and are in-reach services. The legislative framework for forensic patients is outdated and needs urgent reform. Workload, overcrowding within forensic units and prisons, and lack of trained staff are challenges that forensic services must overcome.