The Short Version
The claim that "eating chocolate causes acne" significantly overstates the evidence. While several controlled studies show chocolate consumption can worsen acne in people who already have it, these findings are limited to acne-prone subgroups, involve short-term exacerbation rather than true causation, and may be confounded by sugar and dairy additives. The American Academy of Dermatology explicitly states research does not support claims that chocolate causes acne. The blanket causal claim is misleading.