BACKGROUND: Acne is a disease of western civilization that belongs to the family of metabolic disorders caused by the mTORC1 complex. OBJECTIVE: To describe the diet in Latin American and Iberian patients with mild to severe acne and to measure differences in food consumption according to the degree of acne. MATERIALS AND METHODS: An observational, cross-sectional and of self-reported responses was done from September 1st to November 30th 2019 in which a questionnaire about diet was applied to patients with acne and a control group without acne of the dermatologic consultation, considering the degree of acne condition based on GILEA classification, gender, age, type of food, body mass index, and patient recognition of which foods could worsen, and which could benefit their acne. RESULTS: There were interviewed 1101 patients from the dermatological consultation. It was detected that persons with higher degree of acne consumed more fast food and sodas. CONCLUSIONS: It is important to recommend a balanced diet with fewer insulinotropic cereals, dairy, fatty foods, fast foods, sodas, chocolates, juices, and canned beverages.