A commonplace issue in organizations is handling larger than life leaders. These leaders often have larger than life status in their field and the organization usually gets overwhelmed with the presence of such leaders. Sometimes narcissism in leaders potentially hurts the organization in the long run. This case highlights a brilliant charismatic leader in a healthcare institution who unknowingly becomes a bottleneck in growth of its people and the organization. The case presents qualitative and quantitative data about perception of the leader by his teammates. The issues on leadership, organizational culture, and people management presented in this case are relevant across industries and organizations.