Introduction: Multiple paraphilia is characterized as a disorder that includes three or more paraphilias; for instance pedophilia, exhibitionism, or rape together make up multiple paraphilia. It is hard to estimate prevalence rates of paraphilias due to changes in criterion with time and in divergent cultures. Case Presentation: Our case is a young man whose marriage lead to exacerbation of his paraphilic behavior and more substance abuse. He represented with multiple type of paraphilia simultaneously, which can occur rarely. Conclusions: There's a possibility of different paraphilia occurrence at the same time and to prevent further aversive consequences of the aggregation of paraphilia; devising a treatment plan for such patients would avoid devastating conditions.