In summary, besides the common tubular aggregates, the muscle pathological changes of GFPT1‐related CMS also can show rimmed vacuolar myopathy, autophagic vacuolar myopathy, mitochondria‐like myopathy, MFM‐like myopathy, neurogenic features, and unspecific myopathy changes. This evidence concerns the gene GFPT1 and X-linked myopathy with excessive autophagy.