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- Fakir from Princess Tutu has a scar-like birthmark across his chest that indicates that he's the reincarnation of the Knight from the story The Prince and the Raven. Unfortunately for him, instead of being the Chosen One, this means that his predicted fate is to die painfully without accomplishing anything of value. Naturally he decides to Screw Destiny.
- Kinnikuman has the Kinniku family birthmark on his buttock. He presents it in the Scramble For The Throne arc to prove that he's the rightful heir, only for the impostor princes to reveal their own birthmarks on their backs.
- All of the members of the Joestar Heroic Lineage in JoJo's Bizarre Adventure have the same star-shaped birthmark on the back of their neck.
- The Signers from Yu-Gi-Oh! 5D's have the Dragon's Birthmarks, signifying that they were chosen by the Crimson Dragon.
- The protagonist of the French-language series, Le Scorpion has a scorpion-shaped mark on his back, from which he derives his name. Because of this mark, some people consider him to be the Devil's son. It turns out to be a scar caused by being thrown against a red hot metal scorpion as an infant by Tribalidi, whom the Scorpion and the reader had been misled to believe is his father.
- Owen Krysler from Judge Dredd has an eagle-shaped birthmark on his forehead. This was meant to mark him as the future Chief Judge who is destined to save Mega-City One.
- In Empath: The Luckiest Smurf, the title character is born with a rare yellow star mark on his forehead, which Smurf legends say grants him powers beyond the five known senses — mostly telepathy and telekinesis, but also including a Mind Meld with his fellow Smurfs that can for a time increase his power.
Film - Animation
- Madagascar: Escape 2 Africa: Alex is identified as Zuba's missing son by the Africa-shaped birthmark on his paw.
Film - Live Action
- The Fifth Element - The eponymous Fifth Element, Leeloo, has the symbols for the four elements on her wrist.
- Willow - The movie introduction details this trope, exactly, right off the bat.
- The Court Jester - The Rightful Heir (still an infant) has a birthmark on his butt. There are a couple of scenes of Hawkins holding the infant in his arms, lowering the swaddling clothes just far enough to reveal the birthmark.
- Damien in The Omen, of course, bears the Mark of the Beast (hidden conveniently beneath his hair).
- Tenacious D in The Pick of Destiny: JB and Kage have matching birthmarks, one says "TENAC" and the other says "IOUS D"
JB: I've had this birthmark since I was born. It's the name of our fuckin' band, dude.
Kage: I have ass-mark, too.
- Subverted in Buffy the Vampire Slayer: she had it removed.
- Subverted in The Golden Voyage of Sinbad, when Ms. Fanservice's eye tattoo is seen by the savage tribe. The Plucky Comic Relief guesses that they're so excited because they think it's a Birthmark of Destiny that brands her their goddess, but the character who knows their language reveals that, no, it's actually a sign she should be given to the local one-eyed monster. (A cyclops/centaur, that is.)
- In The Dreamers, Theo and Isabelle are twins and share the same birthmark.
- In Cloud Atlas, each protagonist of the six stories has the same comet-shaped birthmark. (in the book, the one for the sixth isn't Zachry, but his love interest). The book's themes indicate that this birthmark signifies the same singular soul, reincarnated in different bodies again and again throughout time.
- In The Giver, the ability to "see beyond" seems to be linked to a spot-shaped birthmark on one's wrist, as opposed to the book where it was indicated by pale blue eyes.
- In the Discworld series, Carrot casually mentions having a crown-shaped birthmark, which marks him as the rightful heir of the Ankh-Morpork throne.
- Invoked in Wyrd Sisters, when the witches talk about a "strawberry birthmark", despite there being no evidence the lost heir does have one. And nobody's entirely sure what it even means; Nanny Ogg seems to vaguely think it would taste of strawberries.
- In Guards! Guards! the characters discuss birthmarks as if they're something that can be handed down from father to son.
- One of the Jedi Apprentice books had this, only the birthmark would only appear in a certain chamber. This revealed that the Crown Prince was not actually the rightful heir, instead the heir was the king's daughter from a previous marriage to a commoner. Who also happened to be the leader of La Résistance.
- Morgon in Patricia McKillip's The Riddle Master Trilogy has three star-shaped birthmarks on his forehead.
- Deyna's birthmark in The Taggerung. It's a flower-shaped mark on his pawpad, foretold by a seer to mark him as the titular Taggerung (a creature destined to become an unstoppable warrior). This allows the villains to know they've got the right baby when they kitnap him for the honor and strength of their clan. After his relatively effortless Heel Face Turn and the resulting fighting, Deyna has this mark tattooed over so his paw looks like any other otter's paw.
- In The Outlaw of Torn by Edgar Rice Burroughs, Norman of Torn has a lily-shaped birthmark on his right breast, which eventually proves that he's Prince Richard, lost heir to Henry III.
- The royal family in the Hero Series all have a royal birthmark indicating as such.
- In The Prophecy of the Stones, the gift of hope, which allows the protagonists to defeat evil, has been passed down through the generations, with the carriers of hope bearing a sun-shaped scar on their palm. The other protagonist, Joa, reveals at the end that she has such a scar, which connects her plotline to the main one.
- In The Belgariad, Garion has a discoloured mark in the shape of a circle on one of his palms. This mark is actually possessed by every descendant of Riva who is in line to inherit the Rivan throne.
- Sorcerers also have such a mark somewhere. Polgara's is in her hair.
- Among the Ulgo people, the one destined to become their holy man is known by the colour of his eyes at birth.
- Discussed in Artemis Fowl: The Atlantis Complex. Orion wants Foaly to help him search for one. Foaly is not amused.
- A main plot point of the childrens' series Dragonblood, which centers on kids born with a dragon heritage who can usually transform into dragons. They all have a dragon-shaped birthmark on their arm.
- In The Gathering by Kelley Armstrong, Maya Delaney has a paw print shaped birthmark, which is a sign that she is a skin-walker.
- Harry Potter is an interesting case. He only got the lightning-shaped scar that identifies him as the hero because Voldemort "chose" him as his enemy when he was little (upon hearing an incomplete prophecy) and tried to kill him, thus giving him the scar and the tools to ultimately bring him down.
- In Joanne Bertin's Dragonlord books, were-dragons are born as humans who have various birthmarks, which can be anything - albinism, splotches of color, shortness, webbed fingers, etc. These are called their Marking. Some of these run in families and the vast majority of birthmarked humans aren't nascent Dragonlords, but oddly enough there is still a stigma to having a birthmark.
- In Autobiography of Red, Geryon is a red-skinned Winged Humanoid born into an otherwise ordinarily human family. Another character explains that this is a sign of his being a Yazcamac.
Live Action Television
- On the original Doctor Who, Turlough's long-lost little brother was believed to be the Chosen One by his adoptive people, due to a distinctive mark on his shoulder. Subverted in that it wasn't a birthmark or a mark of Destiny, but an identification brand placed on political prisoners by the ones who'd exiled both brothers.
- In The Mystic Knights of Tir Na Nóg, the druid Cathbad believed Rohan was The Chosen One because of the Mark of Destiny he found on the baby boy. Rohan quickly realizes his destiny when the quest to find the legendary hero Draganta ends with the reveal that he is Draganta. At the end of the first (and only) season, Rohan discovers to his initial horror that the Mark of Destiny is actually a birthmark shared by the other members of his biological family his half-brother Lugad, the half-demon Warrior of Temra, and their mother Queen Maeve.
- In Storm of the Century, the protagonist Mike's son Ralphie has a little brown spot on his nose that his parents call a "fairy saddle". Andre Linoge immediately wins over Ralphie by calling it a fairy saddle too. It's implied near the end that Linoge rigged the random lottery to decide which child he would take as his own so that he could have Ralphie because of the fairy saddle.
- In Anna Russell's "How to Write Your Own Gilbert and Sullivan Opera," the fat contralto character of Dandelion reveals (in song, assisted by chorus) that the rich tycoon Claude Billy Bunion was born with a mark "just like a Spanish onion" behind his ear, but being a stupid Gilbert and Sullivan character she switched the bassinets. Such a mark is discovered on the tenor, whom the soprano can now marry instead of the patter baritone, who has to marry the contralto.
- Parodied in the BBC radio series Hordes Of The Things, where Prince Veganin is told that he bears the birthmark of the High Priest of Zylbor (just after he's slain the old one). Turns out that he's not the only one with the mark, however: the Priests are collecting birthmarks from every possible claimant and throwing away the rest of their bodies, on the assumption that they'll be able to fit all the pieces with birthmarks together into their new High Priest one day.
- Certain incarnations of Link from The Legend of Zelda have a birthmark in the shape of the Triforce on their left hand. Occasionally happens to Zelda herself, though not as often.
- Fire Emblem
- In the Jugdral sub-series, Word of God says people who possess holy blood (indicating they are among the oddly rare descendants of the legendary Crusaders) have a birthmark (in-game it just shows up on the stats screen).
- The Branded from Path of Radiance and Radiant Dawn each have a mark somewhere on their bodies to identify that they are descended from both beorc and laguz. A particular brand on the back of someone's right hand marks the bearer as a descendent of Lehran and the true apostle.
- The Brand of the Exalt (proof of Chrom's family's Heroic Lineage) in Fire Emblem Awakening. This actually causes his sister Lissa some angst, as she lacks the Brand, making her think she was illegitimate. Her son Owain has the Brand, however, proving she was truly part of the lineage. Note that the brand can appear on some unusual spots though: While Chrom and Owain have theirs on their arms, Lucina's is in her left eye, and a Chrom-fathered Inigo's is in his right eye.
- A more sinister example is the Mark of Grima on the Avatar's hand.
- It's revealed in Fire Emblem Fates that Odin has one of these... namely, The Brand of the Exalt, because he's Owain. His daughter Ophelia inherits the mark as well.
- In Umineko: When They Cry, Kinzo's polydactyly was interpreted as a sign that he was destined for greatness, which is why he was put in charge of restoring the wealth of the Ushiromiya family.
- Ecco the Dolphin : Ecco has a group of marks on his head that some in the pod say look like stars in the sky. It is, in fact, the constellation Delphinus.
- The main character of Beyond Atlantis, the second game in the Atlantis series, has a mark in the palm of his left hand. It proves he's the one who carries the light part of an alien power.
- The Qunari in Dragon Age believe that the rare members of the horned humanoids most strongly associated with the Qun born hornless are destined for great things. The Sten from Dragon Age: Origins is one of these hornless. He is the very first member of his race to fight in a Blight, and can even become one of the Qun's triumvirs afterwards.
- The lesbian pirates in I Was Kidnapped by Lesbian Pirates from Outer Space have been scouring the galaxy for years trying to find their lost princess who was stolen at birth. All they know is that she has a peculiar birthmark on her belly.
- On The Simpsons, the Stone Cutters (who are TOTALLY not the Freemasons) go from heaping punishment on Homer to making him their new leader when they discover a birthmark on his butt is shaped like the Stone Cutters' symbol.
- Rocky and Bullwinkle: Bullwinkle has one of these on on the bottom of his foot/hoof. It's subverted at the end when it turns out that it's actually the design on his bathroom floor mat, imprinted when he stepped out of the tub. Double Subverted when he later reveals that he has another one on the sole of his other foot that won't wash off.
- In American Dragon: Jake Long, members of the Huntsclan have dragon-shaped birthmarks. According to Rose, before her Heel–Face Turn, it destines her to slay dragons.
- Teen Titans gives Raven glowing red birthmarks in the shape of occult-looking symbols all over her body as a sign that she is the daughter of/portal for the demon Trigon. However, these marks are normally invisible and only appear when Trigon is stirring (i.e. only when they're relevant to the plot).
- Subverted in an episode of Sagwa, the Chinese Siamese Cat where Sagwa's younger sister Sheegwa is thought to be a princess because of a star-shaped birthmark on her body, but at the end of the episode the "birthmark" is accidentally washed off and is revealed to be just a stain of mud.
- In the season 4 premiere of My Little Pony: Friendship Is Magic, Twilight Sparkle's Cutie Mark gains new meaning as a true mark of destiny, as her six-pointed star cutie mark matches both the (retconned) past shape of the Element of Magic, as well as a the symbol on the Tree of Harmony. The Expanded Universe book The Journal of the Two Sisters confirms this further, as when they saw their cutie marks on the Tree of Harmony, they predicted that there would be a third pony with a third symbol, a six-pointed star. This was likely intended from the get-go thanks to Fridge Brilliance, but it doesn't gain any confirmed meaning until a few seasons in.