Acetaminophen, commonly called “Paracetamol” is an over the counter medication available in all the pharmacies in the Indian subcontinent. The emergency and critical care department is commonly involved in the diagnosis and treatment of acetaminophen poisoning patients. The treatment guidelines are ages old but in recent times, the presentation for acetaminophen poisoning has been varied. In this case report, we will discuss the diagnosis and management of acetaminophen poisoning in a child, along with review of literature.