Double inversion recovery preparation is often used in T2* cardiac MRI to acquire dark-blood images. We investigated the impact of dark-blood preparation on imaging of intramyocardial hemorrhage in patients with acute MI at 1.5T. SNR and CNR were compared between dark-blood and bright-blood T2* weighted images. Hemorrhage size, T2* were evaluated and compared between methods. Inter-observer reliability were reported as intraclass correlation coefficients. Our findings here support the notion that when choosing between bright-blood and dark-blood T2* cardiac MRI for the determination of intramyocardial hemorrhage in patients at 1.5T, bright-blood T2* cardiac MRI is likely the preferred approach.