Background: Aluminum Phosphide Poisoning is a highly lethal form of pesticide poisoning commonly seen in developing countries. It leads to severe metabolic toxicity, refractory shock, malignant arrhythmias, and high mortality. Survival following cardiac arrest is rare. Case Presentation: We report a case of a 30-year-old male who presented with aluminum phosphide ingestion, severe hypotension, and altered sensorium. During hospitalization, the patient developed pulseless ventricular tachycardia