Objective: Colon cancer (CC) remains one of the leading causes of cancer death worldwide. Several mutations/polymorphisms have been implicated in CC development and/or progression. The role of the recently identified variants related to the long non-coding RNAs (lncRNAs) family has not yet been fully uncovered. In this sense, we aimed to explore the association between the lncRNA PUNISHER rs12318065 variant and the CC risk and/or prognosis. Methods: A total of 408 CC (paired 204 cancer/non-cancer) tissues were genotyped using the TaqMan allelic discrimination assay. Results: “A” variant was associated with higher susceptibility to develop CC under heterozygote (A/C vs. C/C: OR=1.39, 95%CI=1.09-2.17, p=0.002), homozygote (A/A vs. C/C: OR=2.63, 95%CI=1.51-4.58, p=0.001), dominant (A/C-A/A vs. C/C: OR=1.72, 95%CI=1.15-2.57, p=0.008), and recessive (A/A vs C/C-A/C: OR=2.23, 95%CI=1.34-3.72, p=0.001) models. Patients with metastasis were more likely to harbor A/A and A/C genotypes (16.7% and 14.1%) than 11% with the C/C genotype (p=0.027). Patients harboring C>A somatic mutation were more likely to develop relapse (52.6% vs. 26.5%, p=0.003), have poor survival (57.9% vs. 27.7%, p=0.001), and have shorter disease-free survival (43.2 ± 2.6 months vs. 56.8 ± 1.29 months, p<0.001) and overall survival (49.6 ± 2.4 months vs. 56.6 ± 0.99 months, p<0.001). Multivariate Cox regression analysis showed that patients with distal metastasis and C>A somatic mutation were three times more likely to die. Conclusions: To our knowledge, this study is the first to identify that the PUNISHER rs12318065 variant could be a novel putative driver of colon cancer and is associated with poor prognosis.