Health is the most important and basic part of a human being. Any discrepancy or alteration in health, the state of thus, creates a period of tension in the person's life. Bad news is defined as any fact that creates an undesirable change in the perspectives on their present and future state. Breaking bad news is the most essential yet distressing part for the health care professionals. Mostly, the bad news has to be given by the physicians but advance nurse practitioners can also take their role in it. To make it more comfortable for the patient and healthcare provider, a step by step protocol, i.e. 'SPIKES' should be followed.