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Factitious Disorder Imposed on Another (FDIA), formerly known as Munchausen Syndrome by Proxy, is a complex psychiatric condition that is underdiagnosed and under-identified in which a caregiver fabricates or induces illness in another person, typically a dependent, to gain attention or sympathy. This article presents a detailed case report that highlights the diagnostic challenges and ethical considerations associated with FDIA. The report discusses the clinical presentation, diagnostic approach, and management strategies while emphasizing the importance of a multidisciplinary approach. Insights into the psychological motives behind FDIA and its impact on victims are also explored. This case aims to contribute to the growing body of literature on FDIA and raise awareness among healthcare professionals about this potentially life-threatening condition.