<p>Parapharyngeal tumours constitute about 0.5% - 1% of all head and neck tumours, with the common being salivary gland or neurogenic tumours. Extramedullary plasmacytomas in the parapharyngeal space are remarkably rare, and presentation as amyloid tumour has not been documented in the literature to date.&#xa0;The present report is a rare case of a 53-year-old male diagnosed with a parapharyngeal extramedullary plasmacytoma expounding as an amyloid tumour, a case not previously reported in the literature. The diagnosis was confirmed through histopathology, immunohistochemistry and multiple myeloma was ruled out. The patient underwent surgical excision through a transcervical transmandibular route, followed by post-operative radiotherapy and further follow-up for five years.&#xa0;To our knowledge, this is the first reported case of a parapharyngeal plasmacytoma presenting as an amyloid tumour. This case emphasises the necessity for a high index of suspicion for rare tumours in the parapharyngeal space. A multidisciplinary approach, including surgical excision and adjuvant radiotherapy, is crucial for optimal management and long term disease control.</p>