Renal cell carcinoma (RCC) is one unique urological malignancy with an omnipotent ability of metastasizing to a wide variety of potential sites. Acral metastasis is one such extremely rare event that heralds grave prognostic status of the underlying primary malignancy. We report a 57-year-old gentleman presenting with progressively enlarging swelling on the dorsum of the left hand, evaluation of which lead to the diagnosis of renal cell carcinoma with the seldom reported acral metastasis.