This report on the proceedings of the “Rank Horror” symposium, convened in May 2024 to reconsider Otto Rank’s life, work, and enduring contributions to psychoanalytic theory and practice, includes a brief historical survey of Rank’s relationship to Sigmund Freud and other original members of the International Psychoanalytic Association’s Central Committee, and an account of the symposium’s wider intellectual and political context. It outlines the reasons for returning to Rank now, and a summary of the papers presented. Particular focus is afforded to Rank’s 1924 book, The Trauma of Birth.