Chondro-osseous respiratory epithelial adenomatoid hamartomas (COREAHs) are benign hamartomas very rarely seen in the nasal cavity. We are presenting a case of COREAH in a 39-year-old female that was managed surgically. As the clinical history and gross and radiological features of COREAH resemble those of other aggressive diseases, this case report puts emphasis on considering COREAH as a differential diagnosis to avoid unnecessary surgical interventions.