Clear cell variants of bladder transitional cell carcinoma (TCC) are extremely uncommon. Identification, accurate diagnosis and deciding appropriate therapy for such variants are of clinical significance as they have aggressive clinical course and poor prognosis. A 54 years old male patient presented to emergency room (ER) on March, 2023 with history of gross painless hematuria and urine frequency for the past two weeks. Pre and postcontrast CT scan images from the patient’s initial assessment were performed and showed mass-like wall thickening of the urinary bladder wall at the trigone. Cystoscopy revealed a bulging bladder lesion on the trigone of the bladder, followed by complete transurethral resection of bladder tumour (TURBT) accordingly, complete resection was done. Histopathologically, the morphology and submitted immunostain slides showed strong positivity for CK7 and P63 which favor the diagnosis of urothelial carcinoma, clear cell subtype, the carcinoma extensively invades lamina propria and the carcinoma extensively invades muscularis propria.