This paper discusses fouling of a twisted tube heat exchanger under different conditions of fluid velocity and heat input. The fluid velocity was varied from 0.5 to 2.0 m/s, whereas the heat input to the heat exchanger was varied from 200 to 800 W. The experimental results show that for low fluid velocity of 0.5 m/s, the fouling resistance showed noticeable variation with respect to heat input, whereas for high velocity ranges, that is, 1.0–2 m/s, the variation in fouling resistance is less. The fouling in twisted tube steadily increases with time for different values of heat input from 1000 min onward for fluid velocity in the range from 1.0 to 2.0 m/s. It is also observed that fouling resistance curves overlap for various values of heat input. During the initial 1000 min of the test duration, the maximum fouling in a twisted tube heat exchanger decreases with increase in fluid velocity from 1.0 to 2.0 m/s. This behavior of the fouling rate can be attributed to the fact that at higher fluid velocity, flow becomes turbulent, and this in turn flushes the fouling particles. The time-series correlations for the fouling resistance are found to be logarithmic in nature.