The Foreign Medical Graduate Examination (FMGE) 2023 December session results were released by the National Board of Examinations in Medical Sciences (NBEMS). Approximately 77% of candidates failed the exam, with only 22% passing. Factors contributing to the low pass rate include lack of practical education, dependency on theoretical knowledge, and variations in educational standards across countries. Improved counselling for students and parents and standardized practical training are suggested to address the issue.