In August 2018, sorghum plants (Sorghum bicolor (L.) Moench) from research field plots in Wake County, North Carolina were observed with head blight symptoms including panicles with red lesions, visible mycelium, and necrosis. At the time of collection, all plants in research plots displayed symptoms of Fusarium head blight and panicles averaged 33% area affected by symptoms and signs. From these affected plants, samples (n = 5) were collected for further identification. Symptomatic grains were surface sterilized for one minute in 0.825% sodium hypochlorite solution and rinsed for one minute in sterile, deionized water. After drying on sterile paper towels, grains were plated onto water agar. Resulting fungal hyphal tips were then transferred to antibiotic-amended potato dextrose agar (PDA) and incubated at 25oC. Cultures were incubated for 3 to 5 days. Isolates had abundant white hyphae accompanied with peach-colored pigment production. Macroconidia with 5-6 septations were 23.47 ± 7.74 µm long and 3.47 ± 0.66 µm wide with foot-shaped basal cells, tapering to hooked apical cells. Chlamydospores were present in chains but microconidia were not present. Morphological species recognition (MSR) criteria tentatively identified the isolate as Fusarium lacertarum Subrahm., in the Fusarium incarnatum-equiseti species complex (FIESC) using characteristics described by Leslie and Summerell 2006. Molecular characterization using translation elongation factor 1α (TEF-1 α, primers EF1 and EF2 from O'Donnell et al. 1998), β tubulin (TUB2, primers T1 and T22 from O'Donnell and Cigelnik 1997), and ribosomal protein subunit II (RPB2, primers 5F2 and 11AR from Cerón-Bustamante et al. 2018) was conducted to confirm morphological identification. DNA from the hyphae of pure cultures was extracted using the DNeasy PowerSoil DNA extraction kit according to manufacturer's guidelines. DNA amplification conditions followed the protocols for each primer set (O'Donnell et al. 1998; O'Donnell and Cigelnik 1997; Cerón-Bustamante et al. 2018). BLASTn analysis of TEF-1α (Isolate Accession MT149915, 573bp) alignment had 99.8% identity to F. lacertarum (NCBI accession: JF740828), TUB2 (Isolate Accession MT149914, 1,183bp) alignment had 99.3% identity to F. equiseti (NCBI accession: KJ396338), and RPB2 (Isolate Accession MT184173, 1,538bp) concatenated sequences had 95.3% identity to F. lacertarum (NCBI accession: MH582185). The TUB2 region most closely aligns to F. equiseti, which is likely due to an absence of TUB2 sequences labeled for F. lacertarum in the NCBI database. Pathogenicity was confirmed by spray-inoculating Southern Harvest 80G4 sorghum panicles (n = 9) at anthesis with four ml of conidial suspension (3.3×104 conidia/ml). Control plants (n = 9) were sprayed with sterile water. Plastic bags were placed around panicles for 24 hours to ensure moist conditions during the infection period. Plants were maintained in a greenhouse under a 12-hour light cycle and fertilized bi-weekly with 20-20-20 fertilizer. Symptoms were observed on inoculated panicles after 14 days, and the F. lacertarum isolate was recovered from inoculated plants and confirmed using methods described above. Fusarium spp. were not re-isolated from non-inoculated control plants. Members of FIESC are known to contribute to the Fusarium Head Blight disease complex and may be capable of producing mycotoxins associated with infections (Lincy et al. 2011; Marin et al. 2012; Moretti 2017); however, mycotoxin characterization in F. lacertarum has not been characterized. To our knowledge, this is the first report of F. lacertarum causing disease to sorghum in North Carolina and the United States. Fusarium lacertarum may cause impactful losses to sorghum producers due to direct yield and quality losses by the pathogen as well as the potential for mycotoxins to impact trade.