This paper outlines the common observed failure patterns in the buildings of Nepal after MW 7.8 Gorkha (Nepal) earthquake. Several types of damage patterns were observed for reinforced concrete buildings, as well as for unreinforced masonry and adobe houses during the reconnaissance survey performed immediately after the earthquake of 25 April 2015. Several field visits in the affected districts were conducted and associated failure/damage patterns have been identified and analyzed. This paper also covers damage patterns in non-engineered buildings, middle and high-rise buildings, commercial complexes, administrative buildings, schools and other critical facilities from Kathmandu valley as well as other affected districts. The construction and structural deficiencies are identified as the major causes of failure, however local soil amplification, foundation problems, liquefaction associated damages and local settlement related damages are also significantly observed during this earthquake and reported in the present paper. In the end, the lessons learned from the field survey are resumed in order to give some guidelines for future construction practices.