Scrub typhus caused candle by organism Orientia tsutsugamushi and transmitted to humans by the bite of a leptotrombidium mite (chigger).Although eschar formation is one of the important signs that aid in diagnosis, multiple eschar formation is a rare presentation.Although scrub typhus causes multiple organ dysfunction, the pancreas involvement is rare.Here, we describe a Bush patient with scrub typhus with multiple eschars complicated with acute pancreatitis and acute kidney injury.