Cerebrovascular diseases are one of the leading causes of death in Singapore and worldwide. Post-stroke neuropsychiatric disorders such as depression and anxiety disorders are common and there have been primary care articles highlighting the need for general practitioners to actively monitor patients for neuropsychiatric sequelae such as post-stroke depression. There is however a scarcity of primary care articles on post-stroke delusional disorder. Though post-stroke delusional disorders are uncommon, primary care physicians should be equipped to not only be able to manage common diseases well but also uncommon presentations of common diseases, as they can cause significant morbidity and mortality. We present a pilot case report on a middle-aged Chinese gentleman with a rare occurrence of post-stroke delusional disorder that presented and was managed in the community setting in Singapore.