In two experiments, patients with damage to the medial temporal lobe (MTL) and healthy controls produced detailed autobiographical narratives as they remembered past events (recent and remote) and imagined future events (near and distant). All recent events occurred after the onset of memory impairment. The first experiment aimed to replicate the methods of Race et al.[Race E, Keane MM, Verfaellie M (2011) J Neurosci 31(28):10262-10269]. Transcripts from that study were kindly made available for independent analysis, which largely reproduced the findings from that study. Our patients produced marginally fewer episodic details than controls. Patients from the earlier study were more impaired than our patients. Patients in both groups had difficulty in returning to their narratives after going on tangents, suggesting that anterograde memory impairment may have interfered with narrative construction. In experiment 2, the experimenter used supportive questioning to help keep participants on task and reduce the burden on anterograde memory. This procedure increased the number of details produced by all participants and rescued the performance of our patients for the distant past. Neither of the two patient groups had any special difficulty in producing spatial details. The findings suggest that constructing narratives about the remote past and the future does not depend on MTL structures, except to the extent that anterograde amnesia affects performance. The results further suggest that different findings about the status of autobiographical memory likely depend on differences in the location and extent of brain damage in different patient groups.hippocampus | remote memory | anterograde amnesia E pisodic memory affords the capacity to recollect past events that occurred at a particular time and place (2). In humans, episodic recollection allows for reexperiencing an event through a process of "mental time travel" (3). The hippocampus is known to be important for episodic memory, but its specific contribution is unclear. In one view, the hippocampus is needed for the formation and consolidation of long-term memory for a limited time after learning (4). This view finds support in reports that patients with hippocampal damage were intact at recollecting episodes from early life (and impaired only for more recent time periods) (5-7). Another view holds that episodic memories remain dependent on the hippocampus so long as they persist (8, 9). In support of this idea, patients with hippocampal damage were sometimes impaired at recollecting events from early life (1, 10). A third view follows from the suggestion that the same process that enables recollection of the past is also engaged when imagining the future (11-15). In two studies, patients with hippocampal damage were impaired at imagining new experiences or future events (1, 14, but also see ref.6). This deficit has been proposed to be part of a broader impairment in the ability to construct spatially coherent scenes (15).The present study explored these divergent v...