Introduction: Scrub typhus is an emerging mite born infectious febrile illness in children caused by Orientia tsutsugamushi. This study overviews the various clinical, laboratory characteristics, complications outcome of scrub typhus patient. Objective: Scrub typhus is a common differential diagnosis of fever of unknown origin in children. It is often associated with complications involving many organ systems needing admission to the pediatric intensive care unit (PICU). It affects healthy children of all age groups and a delay in diagnosis can prove fatal. The study was conducted to study clinical spectrum, laboratory profile, complications and outcome of scrub typhus patients admitted to pediatric intensive care unit, to estimate the burden of scrub typhus as a cause of admission to PICU. Methods: It was a prospective, observational study conducted on all pediatric patients admitted to PICU with a diagnosis of scrub typhus over a period from Aug 2018 to July 2019. Clinical, laboratory data along with complications and outcome were studied in all cases. Results: Out of the total of 122 scrub typhus patients, 30(24.59%) patients were admitted to PICU. Scrub typhus contributed to 8.24% of total PICU admission. Shock (40%) was the most common complication followed by meningoencephalitis(13.33%) and acute respiratory disease syndrome (ARDS) (13.33%). Conclusion: Scrub typhus is an emerging cause of intensive care admission in recent times. Timely diagnosis and early treatment can prevent complications and reduce the financial burden to a great extent.