There are a lot of names and terminologies in dermatology. The real and unreal names lead to lot of confusion to the residents and practitioners of dermatology. The word ‘pseudo’ means ‘unreal’, ‘false’ or ‘fake’, and it has deep roots in dermatology providing Herculean task to differentiate and understand the real conditions/diseases/signs in dermatology. We have shown an attempt to list and described the pseudo and associated real conditions in dermatology.