Introduction:The complex phenotypic nature of cutaneous tuberculosis sometimes makes it challenging to diagnose the rare forms and variants of this chronic and debilitating skin infection which is caused by Mycobacterium tuberculosis. Materials and Methods: The study was conducted at a tertiary care centre, in which medical records of patients suffering from rare or atypical features of cutaneous tuberculosis diagnosed by biopsy between 1st November, 2021 to 31st March 2024 were identified and evaluated. Results: We found five out of nine patients of age ranging from 10 to 63 years, from an endemic region and identified uncommon phenotypes such as ulcerative and annular lupus vulgaris, tuberculous chancre, gummatous tuberculosis, and disseminated tuberculosis with skin involvement. Along with cutaneous tuberculosis other body organs were also found to be affected with tuberculosis in two of our patients. Discussion:The rare or atypical morphological presentation in our series of cases indicated the wide variety of cutaneous tuberculosis which could cause diagnostic delays. It is also crucial to differentiate these rare forms from similar-looking skin diseases to prevent misdiagnosis, disfigurement, and potentially fatal outcomes. Conclusion:Successful diagnosis and treatment required a comprehensive approach involving dermatologists, chest physiciansandorthopedic surgeons.