Objectives: The aim of the study was to assess the individual__ampersandsignrsquo;s clinical decision-making ability through Key feature problems and to compare Key feature problems with conventional level II based questions among third-year undergraduate dental students in the subject Oral Pathology. Study design: The study is an interventional educational research. Results: Comparisons between groups A and B were carried out by using descriptive and inferential statistics using Student__ampersandsignrsquo;s unpaired t-test and Cronbach__ampersandsignrsquo;s alpha method of reliability. The software used in the analysis was SPSS 26.0 version and p __ampersandsignlt; 0.05 is considered as the level of significance. The mean score being 8.93__ampersandsignplusmn;0.93 for group A-Key feature problem and 7.05__ampersandsignplusmn;1.28 for group B- Conventional Level II. The difference between the two scores was found to be statistically significant with p-value less than 0.05. The reliability of Key feature problems was 0.98. Conclusion: It was observed in our study that students who were exposed to Key feature problem performed better in decision making skills. The Key feature problems do not entirely rely on the factual knowledge but it has the ability to apply the knowledge within case-based scenarios comprising of crucial elements and requiring critical decisions at specific decision points during the judgement and management of the problem.