Folliculosebaceous cystic hamartoma (FSCH) is a recently-recognized cutaneous hamar- toma composed of follicular, sebaceous and mesenchymal elements. We describe an unusual case of FSCH in a 61-year-old male, who had a relatively large, 3×2.5cm sized, smooth subcutaneous nodule on the occipital area of the scalp, an uncommon location for FSCH.