Introduction: Anorectal malformations are one of the common congenital anomalies with an incidence of 1-3000 to 5000. Up to 70% of the patients have associated anomalies. Urogenital anomalies are the most common associated anomalies followed by cardiac, gastrointestinal and spinal anomalies. Aim/Objectives: This study was done to determine the type and frequency of non-urogenital anomalies associated with different variants of ARMs according to the Krickenbeck classification. Materials and Method: 150 patients were included in the study from the Department of Paediatric Surgery, Bangalore Medical College and Research Institute. A full physical examination of the child was conducted followed by infantogram, echocardiogram, spinal ultrasound scan was done to investigate different associated anomalies. MRI was done if further clarity was needed. The patients were classified according to the Krickenbeck classification. Result: ARM with perineal fistula was the common type of ARM. 73% had associated anomalies, 60.6% had cardiac anomalies including ASD and VSD. 10% had musculoskeletal anomalies and 3.3% had anomalies associated with spine. Discussion: The presence and severity of associated anomalies is one of the major aspects that determine survival and prognosis. Anomalies like vertebral anomalies may not be life threatening but may have direct impact on the functional outcome of the case, while other anomalies involving gastrointestinal tract and cardio vascular system may lead to mortality and morbidity.