A new problem of macadamia trees (Macadamia integrifolia Maiden and Betche) in Hawaii is characterized by slight leaf chlorosis, followed by rapid leaf browning, and tree death. Ambrosia beetle [Xyleborus affinis Eichhoff and X. perforans Wollastan (Coleoptera: Scolytidae)] infestations and fungal fruiting bodies were present on trees that subsequently exhibited the decline pattern. `Ikaika' was the most susceptible cultivar, and tree death occurred 8.3 ± 2.6Sd months after beetle infestations were detected.