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  <xs:element id="rytm_AccruedResearchAndDevelopmentCosts" abstract="false" name="AccruedResearchAndDevelopmentCosts" nillable="true" xbrli:periodType="instant" xbrli:balance="credit" substitutionGroup="xbrli:item" type="xbrli:monetaryItemType"/>
  <xs:element id="rytm_AccruedPayrollRelatedExpenseCurrent" abstract="false" name="AccruedPayrollRelatedExpenseCurrent" nillable="true" xbrli:periodType="instant" xbrli:balance="credit" substitutionGroup="xbrli:item" type="xbrli:monetaryItemType"/>
  <xs:element id="rytm_SalesAllowancesAccruedCurrent" abstract="false" name="SalesAllowancesAccruedCurrent" nillable="true" xbrli:periodType="instant" xbrli:balance="credit" substitutionGroup="xbrli:item" type="xbrli:monetaryItemType"/>
  <xs:element id="rytm_CorporateDebtSecuritiesAndCommercialPaperMember" abstract="true" name="CorporateDebtSecuritiesAndCommercialPaperMember" nillable="true" xbrli:periodType="duration" substitutionGroup="xbrli:item" type="dtr-types:domainItemType"/>
  <xs:element id="rytm_TemporaryEquityContractTerm" abstract="false" name="TemporaryEquityContractTerm" nillable="true" xbrli:periodType="duration" substitutionGroup="xbrli:item" type="xbrli:durationItemType"/>
  <xs:element id="rytm_TemporaryEquitySharesIssuedPricePerShare" abstract="false" name="TemporaryEquitySharesIssuedPricePerShare" nillable="true" xbrli:periodType="duration" substitutionGroup="xbrli:item" type="dtr-types:perShareItemType"/>
  <xs:element id="rytm_FairValueRiskFreeRatesPercent" abstract="false" name="FairValueRiskFreeRatesPercent" nillable="true" xbrli:periodType="duration" substitutionGroup="xbrli:item" type="dtr-types:percentItemType"/>
  <xs:element id="rytm_VolatilityPercent" abstract="false" name="VolatilityPercent" nillable="true" xbrli:periodType="duration" substitutionGroup="xbrli:item" type="dtr-types:percentItemType"/>
  <xs:element id="rytm_FairValueMeasurementWithUnobservableInputsReconciliationRecurringBasisLiabilityAssetValueBeginningBalance" abstract="false" name="FairValueMeasurementWithUnobservableInputsReconciliationRecurringBasisLiabilityAssetValueBeginningBalance" nillable="true" xbrli:periodType="instant" xbrli:balance="credit" substitutionGroup="xbrli:item" type="xbrli:monetaryItemType"/>
  <xs:element id="rytm_DebtSecuritiesAvailableForSaleAccumulatedGrossUnrealizedGainBeforeTaxCurrent" abstract="false" name="DebtSecuritiesAvailableForSaleAccumulatedGrossUnrealizedGainBeforeTaxCurrent" nillable="true" xbrli:periodType="instant" xbrli:balance="credit" substitutionGroup="xbrli:item" type="xbrli:monetaryItemType"/>
  <xs:element id="rytm_DebtSecuritiesAvailableForSaleAccumulatedGrossUnrealizedLossBeforeTaxCurrent" abstract="false" name="DebtSecuritiesAvailableForSaleAccumulatedGrossUnrealizedLossBeforeTaxCurrent" nillable="true" xbrli:periodType="instant" xbrli:balance="debit" substitutionGroup="xbrli:item" type="xbrli:monetaryItemType"/>
  <xs:element id="rytm_CapitalizedMilestonesMember" abstract="true" name="CapitalizedMilestonesMember" nillable="true" xbrli:periodType="duration" substitutionGroup="xbrli:item" type="dtr-types:domainItemType"/>
  <xs:element id="rytm_FollowOnOfferingMember" abstract="true" name="FollowOnOfferingMember" nillable="true" xbrli:periodType="duration" substitutionGroup="xbrli:item" type="dtr-types:domainItemType"/>
  <xs:element id="rytm_NumberOfSharesToBeIssued" abstract="false" name="NumberOfSharesToBeIssued" nillable="true" xbrli:periodType="instant" substitutionGroup="xbrli:item" type="xbrli:sharesItemType"/>
  <xs:element id="rytm_NumberOfDaysToExerciseUnderwritingOption" abstract="false" name="NumberOfDaysToExerciseUnderwritingOption" nillable="true" xbrli:periodType="duration" substitutionGroup="xbrli:item" type="xbrli:durationItemType"/>
  <xs:element id="rytm_PeriodForOptionToPurchaseAdditionalSharesByUnderwriter" abstract="false" name="PeriodForOptionToPurchaseAdditionalSharesByUnderwriter" nillable="true" xbrli:periodType="duration" substitutionGroup="xbrli:item" type="xbrli:durationItemType"/>
  <xs:element id="rytm_StockIncentivePlan2017Member" abstract="true" name="StockIncentivePlan2017Member" nillable="true" xbrli:periodType="duration" substitutionGroup="xbrli:item" type="dtr-types:domainItemType"/>
  <xs:element id="rytm_ExercisePriceNotLessThan100PercentOfFairMarketValueMember" abstract="true" name="ExercisePriceNotLessThan100PercentOfFairMarketValueMember" nillable="true" xbrli:periodType="duration" substitutionGroup="xbrli:item" type="dtr-types:domainItemType"/>
  <xs:element id="rytm_ExercisePriceNotLessThan110PercentOfFairMarketValueMember" abstract="true" name="ExercisePriceNotLessThan110PercentOfFairMarketValueMember" nillable="true" xbrli:periodType="duration" substitutionGroup="xbrli:item" type="dtr-types:domainItemType"/>
  <xs:element id="rytm_ShareBasedCompensationArrangementByShareBasedPaymentAwardNumberOfAdditionalSharesAuthorizedPercentageOfIncrease" abstract="false" name="ShareBasedCompensationArrangementByShareBasedPaymentAwardNumberOfAdditionalSharesAuthorizedPercentageOfIncrease" nillable="true" xbrli:periodType="duration" substitutionGroup="xbrli:item" type="dtr-types:percentItemType"/>
  <xs:element id="rytm_StockBasedCompensationPlanVotingPercentage" abstract="false" name="StockBasedCompensationPlanVotingPercentage" nillable="true" xbrli:periodType="instant" substitutionGroup="xbrli:item" type="dtr-types:percentItemType"/>
  <xs:element id="rytm_EmploymentInducementPlan2022Member" abstract="true" name="EmploymentInducementPlan2022Member" nillable="true" xbrli:periodType="duration" substitutionGroup="xbrli:item" type="dtr-types:domainItemType"/>
  <xs:element id="rytm_TwoThousandSeventeenEmployeeStockPurchasePlanMember" abstract="true" name="TwoThousandSeventeenEmployeeStockPurchasePlanMember" nillable="true" xbrli:periodType="duration" substitutionGroup="xbrli:item" type="dtr-types:domainItemType"/>
  <xs:element id="rytm_ShareBasedCompensationArrangementByShareBasedPaymentAwardPurchasePeriod" abstract="false" name="ShareBasedCompensationArrangementByShareBasedPaymentAwardPurchasePeriod" nillable="true" xbrli:periodType="duration" substitutionGroup="xbrli:item" type="xbrli:durationItemType"/>
  <xs:element id="rytm_ShareBasedCompensationArrangementByShareBasedPaymentAwardAwardCliffVestingPeriod" abstract="false" name="ShareBasedCompensationArrangementByShareBasedPaymentAwardAwardCliffVestingPeriod" nillable="true" xbrli:periodType="duration" substitutionGroup="xbrli:item" type="xbrli:durationItemType"/>
  <xs:element id="rytm_ShareBasedCompensationArrangementByShareBasedPaymentAwardOptionsWeightedAverageRemainingContractualTermRollForward" abstract="true" name="ShareBasedCompensationArrangementByShareBasedPaymentAwardOptionsWeightedAverageRemainingContractualTermRollForward" nillable="true" xbrli:periodType="duration" substitutionGroup="xbrli:item" type="xbrli:stringItemType"/>
  <xs:element id="rytm_EmployeesDirectorsAndNonemployeesMember" abstract="true" name="EmployeesDirectorsAndNonemployeesMember" nillable="true" xbrli:periodType="duration" substitutionGroup="xbrli:item" type="dtr-types:domainItemType"/>
  <xs:element id="rytm_EmployeeMember" abstract="true" name="EmployeeMember" nillable="true" xbrli:periodType="duration" substitutionGroup="xbrli:item" type="dtr-types:domainItemType"/>
  <xs:element id="rytm_ShareBasedCompensationArrangementByShareBasedPaymentAwardNumberOfSharesReleasedUponVesting" abstract="false" name="ShareBasedCompensationArrangementByShareBasedPaymentAwardNumberOfSharesReleasedUponVesting" nillable="true" xbrli:periodType="duration" substitutionGroup="xbrli:item" type="xbrli:sharesItemType"/>
  <xs:element id="rytm_NumberOfCommonStockSharesIssuedUponVesting" abstract="false" name="NumberOfCommonStockSharesIssuedUponVesting" nillable="true" xbrli:periodType="duration" substitutionGroup="xbrli:item" type="xbrli:sharesItemType"/>
  <xs:element id="rytm_ConvertiblePreferredStockHolderAxis" abstract="true" name="ConvertiblePreferredStockHolderAxis" nillable="true" xbrli:periodType="duration" substitutionGroup="xbrldt:dimensionItem" type="xbrli:stringItemType"/>
  <xs:element id="rytm_ConvertiblePreferredStockHolderDomain" abstract="true" name="ConvertiblePreferredStockHolderDomain" nillable="true" xbrli:periodType="duration" substitutionGroup="xbrli:item" type="dtr-types:domainItemType"/>
  <xs:element id="rytm_OneHolderOfSeriesConvertiblePreferredStockMember" abstract="true" name="OneHolderOfSeriesConvertiblePreferredStockMember" nillable="true" xbrli:periodType="duration" substitutionGroup="xbrli:item" type="dtr-types:domainItemType"/>
  <xs:element id="rytm_SecondHolderOfSeriesConvertiblePreferredStockMember" abstract="true" name="SecondHolderOfSeriesConvertiblePreferredStockMember" nillable="true" xbrli:periodType="duration" substitutionGroup="xbrli:item" type="dtr-types:domainItemType"/>
  <xs:element id="rytm_TemporaryEquityAggregatePurchasePrice" abstract="false" name="TemporaryEquityAggregatePurchasePrice" nillable="true" xbrli:periodType="duration" xbrli:balance="credit" substitutionGroup="xbrli:item" type="xbrli:monetaryItemType"/>
  <xs:element id="rytm_TemporaryEquityFairValueDisclosure" abstract="false" name="TemporaryEquityFairValueDisclosure" nillable="true" xbrli:periodType="duration" xbrli:balance="credit" substitutionGroup="xbrli:item" type="xbrli:monetaryItemType"/>
  <xs:element id="rytm_TemporaryEquityLiquidationPreferenceMultiplierFactor" abstract="false" name="TemporaryEquityLiquidationPreferenceMultiplierFactor" nillable="true" xbrli:periodType="instant" substitutionGroup="xbrli:item" type="xbrli:pureItemType"/>
  <xs:element id="rytm_TemporaryEquityDividendRatePercentage" abstract="false" name="TemporaryEquityDividendRatePercentage" nillable="true" xbrli:periodType="duration" substitutionGroup="xbrli:item" type="dtr-types:percentItemType"/>
  <xs:element id="rytm_PercentageOfOwnershipAfterConversion" abstract="false" name="PercentageOfOwnershipAfterConversion" nillable="true" xbrli:periodType="duration" substitutionGroup="xbrli:item" type="dtr-types:percentItemType"/>
  <xs:element id="rytm_LimitedVotingRightsShares" abstract="false" name="LimitedVotingRightsShares" nillable="true" xbrli:periodType="duration" substitutionGroup="xbrli:item" type="xbrli:sharesItemType"/>
  <xs:element id="rytm_StepUpInterestRatePercentage" abstract="false" name="StepUpInterestRatePercentage" nillable="true" xbrli:periodType="duration" substitutionGroup="xbrli:item" type="dtr-types:percentItemType"/>
  <xs:element id="rytm_RareStoneGroupLtdMember" abstract="true" name="RareStoneGroupLtdMember" nillable="true" xbrli:periodType="duration" substitutionGroup="xbrli:item" type="dtr-types:domainItemType"/>
  <xs:element id="rytm_LicenseAgreementMember" abstract="true" name="LicenseAgreementMember" nillable="true" xbrli:periodType="duration" substitutionGroup="xbrli:item" type="dtr-types:domainItemType"/>
  <xs:element id="rytm_TerminationAgreementMember" abstract="true" name="TerminationAgreementMember" nillable="true" xbrli:periodType="duration" substitutionGroup="xbrli:item" type="dtr-types:domainItemType"/>
  <xs:element id="rytm_UpfrontPayment" abstract="false" name="UpfrontPayment" nillable="true" xbrli:periodType="duration" xbrli:balance="debit" substitutionGroup="xbrli:item" type="xbrli:monetaryItemType"/>
  <xs:element id="rytm_RarestoneValuationRealizedGainLoss" abstract="false" name="RarestoneValuationRealizedGainLoss" nillable="true" xbrli:periodType="duration" xbrli:balance="credit" substitutionGroup="xbrli:item" type="xbrli:monetaryItemType"/>
  <xs:element id="rytm_LicenseAgreementUpfrontConsideration" abstract="false" name="LicenseAgreementUpfrontConsideration" nillable="true" xbrli:periodType="duration" xbrli:balance="debit" substitutionGroup="xbrli:item" type="xbrli:monetaryItemType"/>
  <xs:element id="rytm_LicenseAgreementNumberOfPerformanceObligations" abstract="false" name="LicenseAgreementNumberOfPerformanceObligations" nillable="true" xbrli:periodType="duration" substitutionGroup="xbrli:item" type="xbrli:integerItemType"/>
  <xs:element id="rytm_RepaymentOfUpfrontFeesOnTermination" abstract="false" name="RepaymentOfUpfrontFeesOnTermination" nillable="true" xbrli:periodType="duration" xbrli:balance="credit" substitutionGroup="xbrli:item" type="xbrli:monetaryItemType"/>
  <xs:element id="rytm_AdditionalConsiderationForShareRepurchase" abstract="false" name="AdditionalConsiderationForShareRepurchase" nillable="true" xbrli:periodType="instant" xbrli:balance="credit" substitutionGroup="xbrli:item" type="xbrli:monetaryItemType"/>
  <xs:element id="rytm_ReversalOfLicenseRevenueRecognizedOnTerminationOfContract" abstract="false" name="ReversalOfLicenseRevenueRecognizedOnTerminationOfContract" nillable="true" xbrli:periodType="duration" xbrli:balance="debit" substitutionGroup="xbrli:item" type="xbrli:monetaryItemType"/>
  <xs:element id="rytm_NetReductionInLicenseRevenueUponTerminationOfContract" abstract="false" name="NetReductionInLicenseRevenueUponTerminationOfContract" nillable="true" xbrli:periodType="duration" xbrli:balance="debit" substitutionGroup="xbrli:item" type="xbrli:monetaryItemType"/>
  <xs:element id="rytm_IpsenPharmaSasMember" abstract="true" name="IpsenPharmaSasMember" nillable="true" xbrli:periodType="duration" substitutionGroup="xbrli:item" type="dtr-types:domainItemType"/>
  <xs:element id="rytm_SublicenseAgreementMember" abstract="true" name="SublicenseAgreementMember" nillable="true" xbrli:periodType="duration" substitutionGroup="xbrli:item" type="dtr-types:domainItemType"/>
  <xs:element id="rytm_PaymentPercentageBasedOnRevenuesReceived" abstract="false" name="PaymentPercentageBasedOnRevenuesReceived" nillable="true" xbrli:periodType="instant" substitutionGroup="xbrli:item" type="dtr-types:percentItemType"/>
  <xs:element id="rytm_CommercialMilestoneAmountCapitalized" abstract="false" name="CommercialMilestoneAmountCapitalized" nillable="true" xbrli:periodType="instant" xbrli:balance="debit" substitutionGroup="xbrli:item" type="xbrli:monetaryItemType"/>
  <xs:element id="rytm_MilestoneFee" abstract="false" name="MilestoneFee" nillable="true" xbrli:periodType="duration" xbrli:balance="debit" substitutionGroup="xbrli:item" type="xbrli:monetaryItemType"/>
  <xs:element id="rytm_CamurusAbMember" abstract="true" name="CamurusAbMember" nillable="true" xbrli:periodType="duration" substitutionGroup="xbrli:item" type="dtr-types:domainItemType"/>
  <xs:element id="rytm_NonRefundableAndNonCreditableSigningFee" abstract="false" name="NonRefundableAndNonCreditableSigningFee" nillable="true" xbrli:periodType="duration" xbrli:balance="debit" substitutionGroup="xbrli:item" type="xbrli:monetaryItemType"/>
  <xs:element id="rytm_OnetimeNonrefundableDevelopmentMilestonePaymentUponAchievementOfCertainRegulatorySuccesses" abstract="false" name="OnetimeNonrefundableDevelopmentMilestonePaymentUponAchievementOfCertainRegulatorySuccesses" nillable="true" xbrli:periodType="instant" xbrli:balance="credit" substitutionGroup="xbrli:item" type="xbrli:monetaryItemType"/>
  <xs:element id="rytm_RoyaltyPaymentPeriodAfterFirstCommercialSale" abstract="false" name="RoyaltyPaymentPeriodAfterFirstCommercialSale" nillable="true" xbrli:periodType="duration" substitutionGroup="xbrli:item" type="xbrli:durationItemType"/>
  <xs:element id="rytm_OnetimeNonRefundableNonCreditableSalesMilestonePaymentUponAchievementOfCertainSalesLevels" abstract="false" name="OnetimeNonRefundableNonCreditableSalesMilestonePaymentUponAchievementOfCertainSalesLevels" nillable="true" xbrli:periodType="instant" xbrli:balance="debit" substitutionGroup="xbrli:item" type="xbrli:monetaryItemType"/>
  <xs:element id="rytm_RevenueInterestFinancingAgreementMember" abstract="true" name="RevenueInterestFinancingAgreementMember" nillable="true" xbrli:periodType="duration" substitutionGroup="xbrli:item" type="dtr-types:domainItemType"/>
  <xs:element id="rytm_RoyaltyInterestFinancingAgreementMember" abstract="true" name="RoyaltyInterestFinancingAgreementMember" nillable="true" xbrli:periodType="duration" substitutionGroup="xbrli:item" type="dtr-types:domainItemType"/>
  <xs:element id="rytm_DebtCovenantMilestoneAxis" abstract="true" name="DebtCovenantMilestoneAxis" nillable="true" xbrli:periodType="duration" substitutionGroup="xbrldt:dimensionItem" type="xbrli:stringItemType"/>
  <xs:element id="rytm_DebtCovenantMilestoneDomain" abstract="true" name="DebtCovenantMilestoneDomain" nillable="true" xbrli:periodType="duration" substitutionGroup="xbrli:item" type="dtr-types:domainItemType"/>
  <xs:element id="rytm_AnnualNetRevenuesUpTo125MillionMember" abstract="true" name="AnnualNetRevenuesUpTo125MillionMember" nillable="true" xbrli:periodType="duration" substitutionGroup="xbrli:item" type="dtr-types:domainItemType"/>
  <xs:element id="rytm_AnnualNetRevenuesBetween125MillionAnd300MillionMember" abstract="true" name="AnnualNetRevenuesBetween125MillionAnd300MillionMember" nillable="true" xbrli:periodType="duration" substitutionGroup="xbrli:item" type="dtr-types:domainItemType"/>
  <xs:element id="rytm_AnnualNetRevenuesExceeding300MillionMember" abstract="true" name="AnnualNetRevenuesExceeding300MillionMember" nillable="true" xbrli:periodType="duration" substitutionGroup="xbrli:item" type="dtr-types:domainItemType"/>
  <xs:element id="rytm_CumulativeMinimumPaymentsFundingThresholdDateMarch312027Member" abstract="true" name="CumulativeMinimumPaymentsFundingThresholdDateMarch312027Member" nillable="true" xbrli:periodType="duration" substitutionGroup="xbrli:item" type="dtr-types:domainItemType"/>
  <xs:element id="rytm_CumulativeMinimumPaymentsFundingThresholdDateMarch312029Member" abstract="true" name="CumulativeMinimumPaymentsFundingThresholdDateMarch312029Member" nillable="true" xbrli:periodType="duration" substitutionGroup="xbrli:item" type="dtr-types:domainItemType"/>
  <xs:element id="rytm_ProceedsFromRoyaltyFinancingAgreement" abstract="false" name="ProceedsFromRoyaltyFinancingAgreement" nillable="true" xbrli:periodType="duration" xbrli:balance="debit" substitutionGroup="xbrli:item" type="xbrli:monetaryItemType"/>
  <xs:element id="rytm_PercentOfRoyaltyInterestPaymentOnAnnualNetRevenues" abstract="false" name="PercentOfRoyaltyInterestPaymentOnAnnualNetRevenues" nillable="true" xbrli:periodType="duration" substitutionGroup="xbrli:item" type="dtr-types:percentItemType"/>
  <xs:element id="rytm_ThresholdAnnualNetRevenuesForRoyaltyInterest" abstract="false" name="ThresholdAnnualNetRevenuesForRoyaltyInterest" nillable="true" xbrli:periodType="duration" xbrli:balance="credit" substitutionGroup="xbrli:item" type="xbrli:monetaryItemType"/>
  <xs:element id="rytm_ThresholdPercentOfCumulativeMinimumPaymentsFundingToInvestors" abstract="false" name="ThresholdPercentOfCumulativeMinimumPaymentsFundingToInvestors" nillable="true" xbrli:periodType="duration" substitutionGroup="xbrli:item" type="dtr-types:percentItemType"/>
  <xs:element id="rytm_RevenueInterestsPayableCapAsPercentOfInvestmentAmount" abstract="false" name="RevenueInterestsPayableCapAsPercentOfInvestmentAmount" nillable="true" xbrli:periodType="duration" substitutionGroup="xbrli:item" type="dtr-types:percentItemType"/>
  <xs:element id="rytm_RevenueInterestPaymentPeriodFromInitialClosing" abstract="false" name="RevenueInterestPaymentPeriodFromInitialClosing" nillable="true" xbrli:periodType="duration" substitutionGroup="xbrli:item" type="xbrli:durationItemType"/>
  <xs:element id="rytm_ForeignTaxEffectsAmountAbstract" abstract="true" name="ForeignTaxEffectsAmountAbstract" nillable="true" xbrli:periodType="duration" substitutionGroup="xbrli:item" type="xbrli:stringItemType"/>
  <xs:element id="rytm_EffectiveIncomeTaxRateReconciliationChangeInExecutiveCompensationAmount" abstract="false" name="EffectiveIncomeTaxRateReconciliationChangeInExecutiveCompensationAmount" nillable="true" xbrli:periodType="duration" xbrli:balance="debit" substitutionGroup="xbrli:item" type="xbrli:monetaryItemType"/>
  <xs:element id="rytm_EffectiveIncomeTaxRateReconciliationNondeductibleExpenseLicensingReturnToProvisionAdjustmentAmount" abstract="false" name="EffectiveIncomeTaxRateReconciliationNondeductibleExpenseLicensingReturnToProvisionAdjustmentAmount" nillable="true" xbrli:periodType="duration" xbrli:balance="debit" substitutionGroup="xbrli:item" type="xbrli:monetaryItemType"/>
  <xs:element id="rytm_EffectiveIncomeTaxRateReconciliationChangeInDeferredRoyaltyFinancingAmount" abstract="false" name="EffectiveIncomeTaxRateReconciliationChangeInDeferredRoyaltyFinancingAmount" nillable="true" xbrli:periodType="duration" xbrli:balance="debit" substitutionGroup="xbrli:item" type="xbrli:monetaryItemType"/>
  <xs:element id="rytm_ForeignTaxEffectsPercentAbstract" abstract="true" name="ForeignTaxEffectsPercentAbstract" nillable="true" xbrli:periodType="duration" substitutionGroup="xbrli:item" type="xbrli:stringItemType"/>
  <xs:element id="rytm_EffectiveIncomeTaxRateReconciliationChangeInExecutiveCompensationPercent" abstract="false" name="EffectiveIncomeTaxRateReconciliationChangeInExecutiveCompensationPercent" nillable="true" xbrli:periodType="duration" substitutionGroup="xbrli:item" type="dtr-types:percentItemType"/>
  <xs:element id="rytm_EffectiveIncomeTaxRateReconciliationNondeductibleExpenseLicensingReturnToProvisionAdjustmentPercent" abstract="false" name="EffectiveIncomeTaxRateReconciliationNondeductibleExpenseLicensingReturnToProvisionAdjustmentPercent" nillable="true" xbrli:periodType="duration" substitutionGroup="xbrli:item" type="dtr-types:percentItemType"/>
  <xs:element id="rytm_EffectiveIncomeTaxRateReconciliationChangeInDeferredRoyaltyFinancingPercent" abstract="false" name="EffectiveIncomeTaxRateReconciliationChangeInDeferredRoyaltyFinancingPercent" nillable="true" xbrli:periodType="duration" substitutionGroup="xbrli:item" type="dtr-types:percentItemType"/>
  <xs:element id="rytm_EffectiveIncomeTaxRateReconciliationChangeInLicenseAgreementPercent" abstract="false" name="EffectiveIncomeTaxRateReconciliationChangeInLicenseAgreementPercent" nillable="true" xbrli:periodType="duration" substitutionGroup="xbrli:item" type="dtr-types:percentItemType"/>
  <xs:element id="rytm_EffectiveIncomeTaxRateReconciliationChangeInValuationAllowance" abstract="false" name="EffectiveIncomeTaxRateReconciliationChangeInValuationAllowance" nillable="true" xbrli:periodType="duration" substitutionGroup="xbrli:item" type="dtr-types:percentItemType"/>
  <xs:element id="rytm_DeferredTaxAssetsOrphanDrugCredit" abstract="false" name="DeferredTaxAssetsOrphanDrugCredit" nillable="true" xbrli:periodType="instant" xbrli:balance="debit" substitutionGroup="xbrli:item" type="xbrli:monetaryItemType"/>
  <xs:element id="rytm_DeferredTaxAssetsCapitalizedLicenseFee" abstract="false" name="DeferredTaxAssetsCapitalizedLicenseFee" nillable="true" xbrli:periodType="instant" xbrli:balance="debit" substitutionGroup="xbrli:item" type="xbrli:monetaryItemType"/>
  <xs:element id="rytm_DeferredTaxAssetsTaxDeferredExpenseReservesAndAccrualsExpenseCapitalization" abstract="false" name="DeferredTaxAssetsTaxDeferredExpenseReservesAndAccrualsExpenseCapitalization" nillable="true" xbrli:periodType="instant" xbrli:balance="debit" substitutionGroup="xbrli:item" type="xbrli:monetaryItemType"/>
  <xs:element id="rytm_DeferredTaxAssetsTaxDeferredExpenseReservesAndAccrualsInterestLimitation" abstract="false" name="DeferredTaxAssetsTaxDeferredExpenseReservesAndAccrualsInterestLimitation" nillable="true" xbrli:periodType="instant" xbrli:balance="debit" substitutionGroup="xbrli:item" type="xbrli:monetaryItemType"/>
  <xs:element id="rytm_DeferredTaxLiabilitiesRightOfUseAssetsAndOther" abstract="false" name="DeferredTaxLiabilitiesRightOfUseAssetsAndOther" nillable="true" xbrli:periodType="instant" xbrli:balance="credit" substitutionGroup="xbrli:item" type="xbrli:monetaryItemType"/>
  <xs:element id="rytm_DeferredTaxAssetsOperatingLossCarryforwardsIndefinite" abstract="false" name="DeferredTaxAssetsOperatingLossCarryforwardsIndefinite" nillable="true" xbrli:periodType="instant" xbrli:balance="debit" substitutionGroup="xbrli:item" type="xbrli:monetaryItemType"/>
  <xs:element id="rytm_DeferredTaxAssetsTaxCreditCarryForwardsFederalOrphanDrugQualifyingResearch" abstract="false" name="DeferredTaxAssetsTaxCreditCarryForwardsFederalOrphanDrugQualifyingResearch" nillable="true" xbrli:periodType="instant" xbrli:balance="debit" substitutionGroup="xbrli:item" type="xbrli:monetaryItemType"/>
  <xs:element id="rytm_SingleReportableSegmentMember" abstract="true" name="SingleReportableSegmentMember" nillable="true" xbrli:periodType="duration" substitutionGroup="xbrli:item" type="dtr-types:domainItemType"/>
  <xs:element id="rytm_PreclinicalClinicalAndDevelopmentExpense" abstract="false" name="PreclinicalClinicalAndDevelopmentExpense" nillable="true" xbrli:periodType="duration" xbrli:balance="debit" substitutionGroup="xbrli:item" type="xbrli:monetaryItemType"/>
  <xs:element id="rytm_CommercialAndMedicalExpenses" abstract="false" name="CommercialAndMedicalExpenses" nillable="true" xbrli:periodType="duration" xbrli:balance="debit" substitutionGroup="xbrli:item" type="xbrli:monetaryItemType"/>
  <xs:element id="rytm_SegmentIncomeTaxExpenseBenefit" abstract="false" name="SegmentIncomeTaxExpenseBenefit" nillable="true" xbrli:periodType="duration" xbrli:balance="debit" substitutionGroup="xbrli:item" type="xbrli:monetaryItemType"/>
  <xs:element id="rytm_PamelaCramerMember" abstract="true" name="PamelaCramerMember" nillable="true" xbrli:periodType="duration" substitutionGroup="xbrli:item" type="dtr-types:domainItemType"/>
  <xs:element id="rytm_JenniferLeeMember" abstract="true" name="JenniferLeeMember" nillable="true" xbrli:periodType="duration" substitutionGroup="xbrli:item" type="dtr-types:domainItemType"/>
  <xs:element id="rytm_JosephShulmanMember" abstract="true" name="JosephShulmanMember" nillable="true" xbrli:periodType="duration" substitutionGroup="xbrli:item" type="dtr-types:domainItemType"/>
  <xs:element id="rytm_LynnTetraultMember" abstract="true" name="LynnTetraultMember" nillable="true" xbrli:periodType="duration" substitutionGroup="xbrli:item" type="dtr-types:domainItemType"/>
</xs:schema>
