Background: Hypertension is a leading global health concern, contributing significantly to cardiovascular morbidity and mortality. Despite its serious complications, many patients have insufficient knowledge of the condition, its management, and associated risks. Objective: This study aimed to assess the knowledge and perceptions of hypertension among patients attending a cardiology clinic, highlighting misconceptions and knowledge gaps that may influence treatment adherence and disease outcomes. Methodology: A cross-sectional study was conducted at the cardiology clinic of Liaquat University Hospital, Pakistan, involving 200 patients selected through convenience sampling. Data were collected using the validated Hypertension Knowledge-Level Scale (HKLS), which includes six sub-dimensions: definition, medical treatment, medication compliance, lifestyle, nutrition, and complications. Normality of the data was tested with the Shapiro-Wilk test. As the data were not normally distributed, descriptive statistics (frequencies and percentages) were analyzed using SPSS. Results: Of the 200 participants (mean age: 41 years), the overall mean HKLS score was 14.1 out of 22, indicating moderate knowledge. While 61–64.5% correctly identified the definition of hypertension, misconceptions persisted. Notably, 40% incorrectly believed medication is required only during symptomatic episodes, 67% thought hypertension in older adults does not require treatment, and 79% considered frying a healthy cooking method. Awareness of complications varied, with 70.5% recognizing heart attack risk but only 49% identifying stroke risk. Conclusion: The findings demonstrate significant knowledge gaps and misconceptions regarding hypertension. Targeted educational interventions are essential to improve treatment adherence, encourage lifestyle modification, and inform healthcare policy for better patient outcomes.