Organophosphate (OP) poisoning is common in India. OP poisoning classically presents with symptoms of cholinergic excess but can rarely affect other organs and when it does, it can worsen a patient's overall prognosis. We present a case of 29 year old male with OP poisoning who landed in emergency in drowsy state, later had acute kidney injury (AKI), seizures and severe skin rashes and its successful course of treatment.