Necrotising fasciitis is a blanket term that is used to describe skin and soft tissue infections caused by one or a number of bacterial species (Schwartz and Kapila, 2004). In many cases, the disease progresses rapidly, causing large areas of soft tissue damage, extreme pain for the patient, and systemic sepsis if left untreated. Early diagnosis and prompt treatment are essential to halt the progress of the disease. This article examines a variety of presentations of necrotising fasciitis with the aim of assisting the clinician in achieving prompt recognition and providing appropriate treatment.