Close to 2 p.m. Monday officers responded to Holiday Inn in the 300 block of J Street regarding a report of a suspicious man in his 30s displaying irrational behavior.
The man broke a window on the eighth floor of the hotel and proceeded throw furniture out onto the sidewalk.
Officers, Sacramento Fire medical personnel and a hostage negotiation team were called out to establish communication with him.
The man ultimately fell from railing onto the first floor walkway after an extended period of time.
He sustained serious injuries and was rushed to an area hospital. He is expected to survive.