Varicella is a highly contagious viral infection primarily affecting children. While it is typically a mild and self-limiting illness, complications can arise, especially in immunocompromised individuals. One such rare and severe manifestation is disseminated varicella. This clinical image article aims to explore the characteristics, diagnosis, and management of disseminated varicella, highlighting its importance in the clinical setting. © 2023 Elsevier B.V., All rights reserved.