Carcinosarcoma is a malignant mixed tumor that contains both carcinomatous and sarcomatous elements. Carcinosarcoma with typical malignant features are extremely rare in the oral cavity, it has been reported in oropharynx, tongue, gingiva, floor of mouth and paranasal sinuses. The carcinomatous component is usually an adenocarcinoma. The sarcomatous component is made up of either undifferentiated spindle cells or pleomorphic cells that are capable of mesenchymal differentiation into bone (osteoid sarcoma), cartilage (chondroid sarcoma), or muscle (rhabdoid sarcoma). Carcinosarcomas are characterized by high rates of recurrence, metastatic spread and mortality. We describe here a case of recurrent carcinosarcoma of the oropharynx with review of literature.