Abstract Introduction/Objective Fundic gland polyp is a benign polypoid lesion consisting of cystically dilated oxyntic glands; it can be either sporadic or associated with familial adenomatous polyposis or MUTYH-associated polyposis. Squamous morules are well-described in association with numerous epithelial lesions including tubular adenomas, cribriform- morular variant of papillary thyroid carcinoma, and endometrial neoplasia. However, to date only 2 cases have been reported in the stomach. Methods/Case Report We describe a third case, in a 53-year-old female who presented to endoscopy for hematemesis. Thirty-five sessile polyps ranging from 10-18 mm were identified and resected. On histologic sections, all were fundic gland polyps. Of these, one showed scattered small nests of epithelial cells with monomorphic round nuclei, inconspicuous nucleoli, and moderate eosinophilic cytoplasm, situated just below the luminal surface in continuity with adjacent glands. The nests showed focal expression of synaptophysin and cytokeratin 5/6, striking nuclear expression of β-catenin, and no expression of p63. Ki67 proliferative index was <1%. Interestingly, all 3 cases of gastric squamous morules have arisen in adults with symptoms of reflux, including our patient who was on a proton pump inhibitor. All were identified in a gastric polyp (either hyperplastic or fundic gland) within a background of numerous large fundic gland polyps (up to 2 cm), and none were associated with lower gastrointestinal polyposis. Nuclear accumulation of β-catenin, a common feature of squamous morules, was demonstrated in the one prior case that was tested. Results (if a Case Study enter NA) NA. Conclusion Gastric squamous morules are a rare finding. Given the nested arrangement of cells and bland cytology, well-differentiated neuroendocrine tumor may enter the differential diagnosis. Features that can help distinguish squamous morules from neuroendocrine tumor are: (1) focal expression of synaptophysin, (2) superficial location and continuity with adjacent glandular epithelium, and (3) nuclear accumulation of β-catenin.