With a rank of 85,000 and a score of 593 in NEET, you have a fair chance of securing admission to some medical colleges in Kerala. Here are some of the best options to consider:

1. Government Medical Colleges :

• Government Medical College, Thiruvananthapuram : A premier institution known for its quality education and clinical exposure.
  
  
• Government Medical College, Kozhikode : Offers a robust curriculum and experienced faculty.
  
  
• Government Medical College, Kottayam : Provides a comprehensive medical education and practical training.
  
  2. Private Medical Colleges :
  
  
• Amrita Institute of Medical Sciences, Kochi : Recognized for its excellent infrastructure and faculty, though the fees are on the higher side.
  
  
• Sree Narayana Institute of Medical Sciences, Ernakulam : Offers a good quality of education with reasonable fees.
  
  
• Malabar Medical College, Kozhikode : Known for its focused training and good facilities.
  
  3. Deemed Universities :
  
  
• KIMS, Kerala : Part of the Kerala Institute of Medical Sciences, it has a good reputation and offers quality education.

While private colleges may have higher fees, they often provide better infrastructure and facilities. Keep an eye on the counseling process and be ready to apply to multiple colleges to maximize your chances of admission. Make sure to check each college’s official website for the most up-to-date information on cutoffs and admission procedures.