Necrotizing Otitis Externa (NOE), also known as Malignant Otitis Externa (MOE), is a rare infection of the ear canal characterized by frequent bone erosion. This life-threatening condition affects the external auditory canal and skull base, with potential invasion into the stylomastoid and jugular foramina. Treatment typically involves antibiotic therapy, hyperbaric oxygen therapy, and surgical intervention. NOE has a lifetime prevalence of 10% and can manifest in acute, chronic, and necrotizing forms. A 72-year-old male was admitted with complaints of anxiety over the past two days and occasional cough. He has a medical history significant for Type II Diabetes Mellitus, Systemic Hypertension, Chronic Kidney Disease (CKD), and Coronary Artery Disease (CAD), and is currently receiving treatment for these conditions.