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Girum Assefa Department of Dermatovenereology, College of Medicine and Health Sciences, Hawassa University, Hawassa, EthiopiaCorrespondence: Girum Assefa, Department of Dermatovenereology College of Medicine and Health Sciences, Hawassa University, Hawassa, Ethiopia, Tel +251 911628897, Email girumt79@hu.edu.etAbstract: Acne necrotica is a rare disease, characterized by recurrent crops of inflammatory papules and papulo-pustules that rapidly become necrotic, leaving varioliform scars of varying extent. Here, I report the case of a 32-year-old male with early-stage disease and a 58-year-old male with late-stage acne necrotica. Both patients had a history of chronic, relapsing, umbilicated, and centrally necrotic erythematous papules and papulo-pustules involving the hairline and face. A diagnosis of acne necrotica was made based on the clinical presentation, and both patients started on topical mometasone furoate cream and doxycycline tablets and responded well. Herein I report this case to reappraise an under-recognized entity of acne necrotica.Keywords: varioliform scar, acne necrotica, acne vulgaris, folliculitis, hypersensitivity, anti-inflammatory drugs