Hypertrophic cardiomyopathy (HCM) is characterised by dynamic LVOT obstruction and is frequently associated mitral valve abnormalities commonly leading to mitral regurgitation. We describe a case of HCM with dynamic as well as fixed LVOTO due to the presence of a subaortic membrane along with concomitant mitral stenosis due to anomalous insertion of papillary muscles. This case represents a very rare scenario of mitral inflow and mitral outflow obstruction along with coexistent fixed and dynamic LVOTO in a case of HCM.