We report here a unique case of methimazole (MMI)-induced pancreatitis. To our knowledge. this is the sixth case reported in the literature and the first diagnosed in a patient with toxic multinodular goiter. A 51-year-old Caucasian female with a history of benign multinodular goiter and subclinical hyperthyroidism was started on MMI 10 mg orally daily. https://www.ngetikin.com/