Objectives: To investigate the association between increased weight status (IWS), a weight for age/gender ≥95th percentile, and fall-induced intracranial hemorrhage (ICH) in children aged ≤4 years. Methods: In 7,072 children aged ≤4 years with head injury who visited a tertiary care hospital emergency department in Korea from 2013 through 2015, the presence of fall-induced ICH was reviewed. The association between IWS and ICH was investigated by multivariable logistic regression. We retrospectively validated the Pediatric Emergency Care Applied Research Network rule alone and in combination with IWS for predicting ICH. Results: Of 7,072 children, 547 (7.7%) underwent computed tomography, of whom 451 (6.4%) were enrolled. Of these, 41 (9.1%; estimated event rate, 0.6%) had ICHs, and 26 (5.8%) had IWS. IWS was more common in the children with ICH ( P = 0.023). The association between IWS and ICH remained significant after adjustment (OR, 5.24; 95% CI, 1.49‒18.46; P = 0.010). The validation of the rule in combination with IWS showed no significant increases in the sensitivity (92.7% [95% CI, 80.1%‒98.5%] to 95.7% [95% CI, 83.5%‒99.4%]) and negative predictive value (98.2% [95% CI, 94.7%‒99.4%] to 98.8% [95% CI, 95.4%‒99.8%]). Conclusions: IWS is associated with fall-induced ICH in children aged ≤4 years. Information on weight status could be potentially helpful in predicting ICH in young children with fall-induced head injury.