Novel coronavirus (severe acute respiratory syndrome coronavirus 2 or SARS-CoV-2) has emerged as a rapidly spreading viral illness throughout the world.[1] Respiratory system appears to be most commonly affected with this deadly virus.[2] As the number of coronavirus disease 2019 (COVID-19) cases are increasing worldwide, few cases are being identified as having extrapulmonary symptoms.[3] Very few case reports can be found in literature which have shown pericardial involvement due to coronavirus. We are presenting a rare case of massive pericardial effusion as a presenting feature of COVID-19 infection.