Ganser syndrome (GS) has been found to be rare which was first described by Siegbert Ganser in the year 1897 in prisoners. GS is characterized by, but not always, approximate answers, clouding of consciousness, conversion symptoms and optional auditory or visual hallucinations. Not many cases of GS have been reported till now and diagnosis is difficult. Hence we present such a rare case of Ganser syndrome in a remand prisoner who presented with hearing of voices of an unknown woman and able to see her and sleep disturbances since 1 week and also giving approximate answers. Patient also had amnesia to the presenting symptoms. The diagnosis and treatment of Ganser syndrome being complex and difficult, ruling out possible causes of such presentation is very much important. Since it is rarely reported, prognosis could be uncertain.