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Immunotherapy for cancer treatment has proved to be a very useful technique that helps to boost the immune responses of the host against cancer cells. In this study, the effectiveness of atezolizumab is assessed in Programmed Death-Ligand 1(PD-L1) Positive advanced cancers of Indians. This study was performed using a retrospective analysis on the clinical data of 120 patients that received atezolizumab treatment between 2021 and 2025. Patients with advanced solid malignancies such as non-small cell lung carcinoma (NSCLC), hepaticellular carcinoma (HCC), and triple-negative breast cancer (TNBC) were included in this study. The RECIST 1.1 criteria and CTCAE Version 5.0 recommendations were used to assess the response to therapy, progression-free survival, overall survival, and adverse events linked to the immune system, respectively. Kaplan-Meier survival analysis, chi-square testing, and descriptive statistics were all part of the statistical package. The results demonstrated that patients exhibiting elevated levels of PD-L1 had a substantially better chance of surviving. In total, 76.6% of people were able to keep the sickness at bay, whereas only 48.3% responded. Treatment response is strongly correlated with PD-L1 over-expression (χ² = 9.64, p = 0.002). Adverse reactions experienced by subjects in this study were mostly mild-to-moderate. It was concluded in this study that atezolizumab is an effective and safe immunotherapy drug for treating PD-L1-positive malignancies in Indians.