Activation of melanocortin-4 receptors (MC4Rs) restrains feeding and prevents obesity; however, the identity, location, and axonal projections of the neurons bearing MC4Rs that control feeding remain unknown. Reexpression of MC4Rs on single-minded 1 (SIM1) + neurons in mice otherwise lacking MC4Rs is sufficient to abolish hyperphagia. Thus, MC4Rs on SIM1 + neurons, possibly in the paraventricular hypothalamus (PVH) and/or amygdala, regulate food intake. It is unknown, however, whether they are also necessary, a distinction required for excluding redundant sites of action. Hence, the location and nature of obesity-preventing MC4R-expressing neurons are unknown. Here, by deleting and reexpressing MC4Rs from cre-expressing neurons, establishing both necessity and sufficiency, we demonstrate that the MC4R-expressing neurons regulating feeding are SIM1 + , located in the PVH, glutamatergic and not GABAergic, and do not express oxytocin, corticotropin-releasing hormone, vasopressin, or prodynorphin. Importantly, these excitatory MC4R-expressing PVH neurons are synaptically connected to neurons in the parabrachial nucleus, which relays visceral information to the forebrain. This suggests a basis for the feeding-regulating effects of MC4Rs.M elanocortins, working through melanocortin-4 receptors (MC4Rs), regulate energy balance (1-3). Proopiomelanocortin (POMC)-expressing neurons release the MC4R agonist α-melanocyte-stimulating hormone (α-MSH) and promote negative energy balance, whereas agouti-related protein (AgRP)-expressing neurons, releasing the antagonist AgRP, do the opposite. Consistent with these roles, optogenetic (4) and chemogenetic (5) stimulation of POMC neurons causes hypophagia and weight loss. Conversely, optogenetic (4) or chemogenetic (6) stimulation of AgRP neurons produces hyperphagia and weight gain, with prolonged effects being mediated by AgRP through its action on MC4Rs (7). Importantly, the α-MSH/MC4R pathway also operates in humans, as evidenced by massive obesity in individuals lacking either α-MSH or MC4Rs (8, 9).Despite the established importance of MC4Rs (3), the neural mechanisms by which they regulate energy balance, and in particular feeding, are still unknown. In a prior study, we investigated the role of MC4Rs in the paraventricular hypothalamus (PVH), specifically on SIM1 (single-minded 1)-expressing neurons (2). The impetus for focusing on the PVH included the following: (i) MC4R expression is dense in the PVH (10-12), (ii) it receives strong input from AgRP and POMC neurons (13, 14), (iii) injection of MC3/4R ligands into the PVH affects feeding (14-16), (iv) PVH-directed lesions cause obesity (17, 18), and most importantly, (v) haploinsufficiency of SIM1, a transcription factor required for PVH development, results in obesity (19,20). Accordingly, using transgenic approaches, we restored Mc4r expression selectively in SIM1 neurons in mice that otherwise lack MC4Rs (2). Of note, restoration in SIM1 neurons rescued ∼60% of the obesity and 100% of the hyperphagia of MC4R-null mice, ...