Black, brown, or blue skin lesions are referred to as pigmented skin lesions. Both melanocytic and non-melanocytic lesions are included in this group. Numerous pigmented lesions enhance the likelihood of melanoma and are challenging to categorize due to the wide range of histological findings. With this study, we aimed to compare the clinical and histological diagnoses while also evaluating the range of pigmented skin lesions in cases presenting to our hospital.