Purpose Australian Football League (AFL) is an uncommon cause of renal trauma. It remains under-reported in the literature, with only one dedicated case series. We have thus conducted a review of AFL-related renal traumas at our tertiary trauma centre. Methodology A retrospective review was conducted of adult patients with AFL-related renal traumas presenting to the Alfred Hospital between January 2009 and December 2024, with help from the Alfred Health Trauma Registry. Basic demographics, management, and 30 day mortality were recorded. Results A total of 29 patients had AFL-related renal injuries. All of these patients were male, with an average age of 25. The majority of injuries affected the left kidney (n=20) and were grade 4 (n=14) or grade 3 (n=10), with some grade 5 (n=2) and grade 2 (n=3) injuries, and no grade 1 injuries. The majority (n=23) did not require any blood transfusions, and of those requiring blood, the number of units transfused ranged from 2 to 4. The primary management strategy for the majority (n=23) was conservative, with only a minority being managed with interventional radiology (n=5) or surgery (n=1). However, there was a moderate failure rate of conservative management, with 5 patients (17%) requiring further interventions. The majority of these (n=4) were with interventional radiology for traumatic pseudoaneurysm, with only one patient requiring stenting for urinoma. The overall 30 day mortality rate was 0. Conclusion This series demonstrates a trial of conservative management remains appropriate for the majority of AFL-related renal trauma patients. However, it appears there is a higher rate of traumatic pseudoaneurysms and subsequent intervention in this group compared to renal traumas from other mechanisms.