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Adrenal myelolipoma is an uncommon benign tumor of the adrenal gland, usually asymptomatic, unilateral, and nonsecreting. Adrenal myelolipoma is usually an incidental finding. It is composed of variable mixture of mature adipose tissue and trilineage hematopoietic elements. We report a case of 26-year-old female patient with complaints of headache, acne, hoarseness of voice, facial hair growth, poor breast growth, and enlarged clitoris. On investigating, serum testosterone, serum cortisol, serum androstenedione, and serum adrenocorticotropic hormone levels were found increased. The patient was operated for left adrenalectomy. On histopathology, it showed predominantly adipose tissue and areas of hemorrhage with foci of hematopoietic elements, comprising lymphocytes, plasma cells, megakaryocytes, as well as myeloid and erythroid cells. The case is presented to highlight this rare large functional tumor in a young adult female.