Neurocritical care is an emerging specialty integrating critical care medicine and neuroscience. Neurocritical care specialty in China started late, due to lack of data on medical resources, and complex professional background of specialists in Neuro-critical care unit. Without standardized neurocritical care specialist training in China, there is an urgent need for neurocritical care specialist training. According to successful experience of previous specialized training in China and foreign countries, before establishing a standardized specialized training, priority should be given to core competencies in this specialty. A working Group from Neuro-Critical Care Committee affiliated to the Chinese Association of Critical Care Physicians and the National Center for Healthcare Quality Management in Neurological Diseases established the consensus through formal consensus methods (modified Delphi method and nominal group method). The working group first compiled the previous guidelines and then issued an online questionnaire. 1094 respondents from 33 provinces in China participated in the online survey. A formal list containing 329 statements was generated for rating by a nominal group. After five rounds of nominal group meetings and one round of comments and iterative review, 198 core competencies (54 on neurological diseases, 64 on general medical diseases, 42 on monitoring of practical procedures, 20 on professionalism and system management, 5 on ethical and legal aspects, 3 on the principles of research and certification, and 10 on scoring systems) formed the final list. The list can be used as a reference for neurocritical care training in the future.