Arthritis Robustus, first described by Haas, et al. in 1973 as “Rheumatoid arthritis, typus robustus,” is an atypical presentation of rheumatoid arthritis (RA) wherein the patient can work and complete activities of daily living despite possessing severe disease. There is little current literature on arthritis robustus, with the most recent description being from 2014, describing an Indian telephone wire worker whose disease was discovered incidentally during the management of myocardial infarction. This article expands the current literature on arthritis robustus as an atypical presentation of rheumatoid arthritis using a case-revelation from a rural rheumatology clinic in the United States.