Introduction Krukenberg tumours, aggressive metastatic ovarian tumours originating from non-gynaecological sources, remain a challenge for clinicians. The management of those with colorectal origins lacks well-defined guidelines, leading to variations in management and outcomes. We describe the management of Krukenberg tumours from a colorectal origin within a major Australian tertiary centre. Method This retrospective study identified Krukenberg tumours of colorectal origin within a single tertiary referral centre (Western Health) in Melbourne, Australia. Data were extracted from a prospective Australian Comprehensive Cancer Outcomes and Research Database (ACCORD) as well as MDT and Hospital Electronic Medical Records. Results The clinical trajectories of twenty-one patients (mean age 56.9 years, range 34 – 87) between 2005 and 2023 were identified. In most cases, Krukenberg tumours presented synchronously with the diagnosis of their primary colorectal tumour (n=18, 86%,). Majority presented with colonic primaries (n=19, 90%). The majority of patients (n=16, 76%) underwent primary elective surgical resection (n=11, 69%). The average time between diagnosis and surgery was 39 days (range 0 – 168 days). Amongst those who received surgical management, a notable proportion required a stoma (n=7, 44%). The mean length of survival was approximately 19 months (from diagnosis). Conclusion Krukenberg tumours from colorectal origins are aggressive malignancies that predominantly afflict younger individuals, with an average survival of less than two years. Given the late presentation of this disease, a high degree of clinical suspicion and timely investigations are imperative for early intervention and improved patient outcomes.