Migraine headache is not an uncommon presentation in general population. It’s one among the leading 10 causes of disability and causes significant impairment in daily functioning as well as socio-occupation functioning. Despite being significantly high in prevalence rates and having a negative impact on quality of life it continues to be underdiagnosed and undertreated. Around a third of population present with aura that may include ill-formed hallucinations or zigzag lines, crescent and non-linear patterns that are rarely fully formed. We report a rare presentation of a patient will formed visual hallucination which was difficult to diagnose due to various neuropsychiatric differentials. After extensive evaluation and neuro-imaging to rule out other medical, neurological and psychiatric causes patient was started with management for migraine on which a good response was seen. Formed visual hallucinations are rare presentation in classic migraine but more complex hallucinations can occur in migraine coma and familial hemiplegic migraine.