Tongue abscess is rare but can be life-threatening especially if the cause of it is not removed promptly. It usually results from trauma, foreign body, lingual tonsils pathology, thyroglossal duct remnants or dental diseases. The etiology of the disease can be found out by obtaining a detailed history from the patient and physical examination with the assistance of lab investigation, laryngoscope, imaging tools such as Computed tomography (CT), Magnetic Resonance Imaging (MRI) and Ultrasonography (US). The main principles of the management of tongue abscess are maintaining the patency of the airway, draining the abscess, antibiotics therapy or even surgical approach. We present a tongue abscess case which the etiology was a fish bone sits deeply in the tongue.