Actinomycosis is a rare infection with Actinomyces israelii mostly seen in the craniofacial region in post pubertal individuals. We present the youngest case of abdominal actinomycosis in a 4-year-old female. Her initial presentation led to a diagnosis consistent with ruptured appendicitis with abscess on computed tomography (CT) imaging. https://spencertifieders.shop/product-category/video-games/