The 82-year-old cyclist fell from his bike shortly after midday on Wednesday, June 19, in Lewes Road near Chelwood Gate, north of Newick.
Sussex Police said a vehicle may have been involved in the crash but did not stop at the scene.
Officers are appealing for witnesses.
A spokesman for the force said: “Police are appealing for witnesses after an 82-year-old cyclist was seriously injured in Chelwood Gate.
“He had been riding a distinctive red and black bicycle along the A275 Lewes Road, close to the junction with Sandy Lane, when the incident occurred about 12.30pm on Wednesday 19 June.
“A vehicle may have been involved but failed to stop at the scene, and officers are urging anyone with information or dash cam footage to come forward.
“You can report it online or call 101, quoting serial 597 of 19/06.”
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