Abstract
The charm needles, or susuks, are small, needle-shaped metallic talismans inserted subcutaneously in different parts of the body. This is a traditional practice, occasionally encountered in the Southeast Asian region. This case report describes two patients who were evaluated in the emergency department and incidentally found to have charm needles on the plain radiographs. These needles are not visible externally and have not been reported to cause any adverse effects. Emergency physicians should be aware of the existence of this traditional practice and chances of its incidental detection on radiographs. This would help avoid misdiagnosis and further investigations. It would also avoid susuks being considered as foreign bodies responsible for the patient's symptoms.