Tufted angioma is a rare localized benign vascular tumor, most commonly presenting in the first year of life. Clinically, it appears as slowly progressive red to brown papules or plaques on the neck, trunk, or shoulders. Histologically, tufted angioma is characterized by well-circumscribed capillary lobules in a cannon ball appearance in the dermis. A 57-year-old Korean male presented with occasional painful, erythematous papules and two annular plaques on his left side of neck. The skin lesions initially occurred 4 years ago as an erythematous papule, gradually increased in number and size. He had neither any past medical problem nor a family history of similar lesions. The patient denied any trauma. Histological examination revealed discrete circumscribed capillary lobules throughout the dermis with the characteristic cannon ball appearance. As a result, the patient was diagnosed with tufted angioma and received no treatment. Herein, we report a rare case of tufted angioma, occurred in an adult in his 50s