We explore the generation of orbital angular momentum (OAM) carrying mid-infrared Bessel-Gaussian beams through nonlinear interactions within a non-uniformly broadened 85Rb atomic ensemble. Utilizing an efficient four-wave mixing (FWM) scheme driven by two strong control fields and a weak probe field, we achieve coherent emission at a wavelength of 5.23 µm. By employing the density matrix approach, we obtain an analytical expression for the nonlinear atomic coherence involved in the four-wave mixing process, elucidating how the Bessel-Gaussian profile of the probe field is transferred into the mid-infrared signal. Numerical simulations of Maxwell’s wave equation ensure the generation of phase-matched, non-diffracting Bessel-Gaussian beams, which can be precisely controlled by manipulating the spatial susceptibility of the atomic medium. Furthermore, this study demonstrates the potential of higher-order Bessel-Gaussian beams with OAM to significantly advance applications in high-speed communication, biomedical imaging, and optical manipulation, owing to their robust beam integrity and enhanced data transmission capabilities in the mid-infrared spectrum.