Symmetrical Peripheral Gangrene (SPG) is one of the very rare and devastating complication of malaria. We report a 45-year-old gentleman who presented with fever and blackish discoloration of digits. Examination revealed mild splenomegaly, cold peripheries with dry gangrene involving bilateral fingers and toes. Investigations revealed thrombocytopenia and transaminitis. Rapid malaria test was positive for both Plasmodium falciparum and Plasmodium vivax. Patient was treated with antimalarials. Clinicians managing malaria should be more vigilant for this rare devastating complication.