Introduction: Basal cell carcinoma is the most common skin cancer. Pigmented basal cell carcinoma is a very rare variant of Basal cell carcinoma with increased pigmentation. Intermittent ultraviolet radiation exposure is the predominant risk factor. Due to its multiple and varied clinicopathological presentations, its diagnosis becomes difficult. A case of multiple pigmented BCC is reported in a 64-year-old manon the right cheek. The diagnosis was established based on histopathology and dermoscopy findings. Result: Dermoscopy showed a maple-leaf like a pattern, blue-grey globules, ulceration and vessels. Histopathological examination showed an island of basaloid cells with peripheral palisading, melanin clumps in the stroma, with retraction artefacts. Conclusion: Dermoscopic analysis of the pigmented basal cell carcinoma eliminated the need for biopsy leading to early diagnosis and prompt intervention. Thus dermoscopy should be used as a routine tool in suspected skin lesions.