Scrub typhus is a rickettsial infection prevalent in most parts of India. Acute pancreatitis with pseudocyst formation is a rare complication of this condition. This paper reports acute renal failure. pancreatitis and pseudocyst formation in a 48-year-old female with scrub typhus. https://www.roneverhart.com/Tiamat-s-Rebuke-East-Non-Ladder/