A 64-year-old woman developed an essential tremor in her right upper extremity at the age of 18 that gradually worsened over decades and was refractory to medical treatment. The patient also had a history of severe developmental stuttering since she was 5 years old that was characterized by significant blocks and prolongations. The combination of developmental stuttering and essential tremor was severe enough to cause impairment of daily functioning, avoidant behavior, and anxiety. The patient received extensive speech therapy in her youth with no improvement of dysfluency. At age 62, a deep brain stimulator was implanted in the left ventral intermediate nucleus of the thalamus to treat her essential tremor. The stereotactic coordinates of the deepest midpoint contact were 11.4 mm left, 4.2 mm posterior, and 0 mm inferior to the anterior commissure-posterior commissure midpoint. The patient experienced complete resolution of her tremor and decreased frequency and duration of her stuttering immediately after DBS. Subsequent adjustment of the stimulation parameters to achieve optimal tremor control maintained this improvement in fluency. The final settings of the device were case positive, lead 2 negative, 2.40 mA, pulse width set at 104 μs, and frequency at 184 Hz.