Meningitis caused by varicella zoster virus (VZV) infection is uncommon in immunocompetent patients. We report 3 cases of VZV meningitis with rash in immunocompetent adults from a single academic institution over a 1-year period. The low prevalence of VZV meningitis in this population is attributed to lack of early recognition or underreporting. We highlight the importance of considering VZV as a possible cause of meningitis even in previously healthy young individuals.