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Anatomical variations in the circulatory system are not uncommon, with the forearm’s arterial anatomy presenting some intriguing irregularities. This abstract explores the unique phenomenon of bilateral superficial ulnar arteries in the forearm, often accompanied by an unusual arterial arch. While typically asymptomatic, these variations can pose challenges during medical procedures in the forearm, such as blood draws or intravenous line placements, due to the unexpected arterial patterns. Awareness of these anomalies is essential for healthcare professionals, ensuring both the safety and efficacy of patient care. Understanding these uncommon anatomical variations not only provides practical clinical insights but also underscores the remarkable diversity of the human body’s arterial architecture