The purpose of this study was an in depth investigation of the morphogenesis of central and peripheral liver ruptures in blunt trauma and to obtain additional information about their forensic medical significance. It has been established that central and peripheral ruptures are formed by shocks caused by very high forces, as well as by frontal compression of the body as a result of general deformation of the organ and rupture of parenchyma from stretching and tissue shearing. The surface relief of central ruptures was found to be independent of the type of external influence and was determined by the size of the rupture. The peripheral part of such ruptures was characterized by a relatively homogeneous surface topography formed by shear ridges, while the central part was characterized by an inhomogeneous surface topography formed by tensile zones. The surface relief of peripheral ruptures also did not depend on the type of external influence. The surface was relatively homogeneous, with ridges along the edge of the rupture, shear ridges and stretch zones directed deep into the rupture and forming the rupture surface relief in the form of alternating elevations and depressions.