Congenital cartilaginous rest of the neck (CCRN), also known variously as wattle, cervical auricle, persistent branchial cartilage, and cervical tab, is a rare congenital neck mass thought to represent abnormal development of the embryonic branchial apparatus. CCRNs present at birth as asymptomatic skin-colored subcutaneous nodules or soft pedunculated nodules, typically located on the lower third of the neck overlying the anterior border of the sternocleidomastoid muscle. While CCRNs are likely the result of abnormal branchial migration, there are no reports of associated regional or systemic anomalies. Affected children are otherwise healthy. CCRNs are present at birth and do not enlarge; there have been no cases of malignant degeneration of CCRNs.