The en coup de sabre variant of linear scleroderma typically occurs in children. We report a unique case of adult-onset en coup de sabre scleroderma in a patient with linear localized scleroderma profunda. The patient was treated with oral steroids and oral methotrexate improving her cutaneous disease. https://www.jmannino.com/quick-save-Arcade-Smokey-Bear-Belt-p10222-great-pick/