Tuberculous gummas and tuberculosis verrucosa cutis (TBVC) generally manifest in two extreme poles across the cell mediated immunity spectrum of cutaneous tuberculosis. The present case report refers to a 43 year old female with subcutaneous soft to firm non-tender, minimally fluctuant nodules & abscesses over digits of B/L hands and few well defined verrucous plaques over lateral aspects of bilateral soles. Ziehl-Neelsen stain did not demonstrate any acid fast bacilli. On histopathologic examination it was diagnosed as Tuberculous gumma with Tuberculosis Verrucosa cutis as per clinical diagnosis and its coexistence in a single individual is unique. The patient was treated with anti tubercular drugs (ATD) & responded well.