Alcoholic liver disease (ALD) is a condition that occurs due to excessive and prolonged alcohol consumption. It encompasses a spectrum of liver disorders, including fatty liver, alcoholic hepatitis, and alcoholic cirrhosis. Understanding the etiopathogenesis, or the underlying causes and mechanisms, of ALD, as well as the available pharmacotherapy options, is essential for effectively managing this condition. In this article, we will explore the etiology of ALD, its progression, and the pharmacological interventions used in its treatment.