Spitz nevus is a commonly acquired melanocytic neoplasm that typically appears on the face and extremities. Multiple Spitz nevi are rare and can be classified as agminated/clustered or disseminated.1 Agminated Spitz nevi (ASN) represent multiple grouped and localized Spitz nevi, often observed on the face and arms.1,2 Genetic anomalies associated with ASN include mosaic mutations and oncogene translocations.3 Given the absence of recommendations for treating adult-onset ASN, we reviewed the literature on treatment options and present a case of adult-onset auricular ASN successfully treated with cryotherapy.