Research as to whether amnesic people are able to extract gist in a converging semantic associates paradigm, known as the DRM paradigm, has produced inconsistent results in the literature. For the first time, this paper presents the performance of a young amnesic person (CJ) in this task, who acquired his memory disorder at the age of 11 years and was tested four years post-injury. In contrast with much of the data in the adult amnesia literature, CJ was found to be sensitive to the DRM manipulation at a level comparable to controls in recognition and at a level higher than controls in free recall. In addition, a detailed analysis of recall intrusions other than the critical word lent further support to the main finding that CJ is able to extract gist on the basis of semantic associations. Results are discussed with reference to the fuzzy-trace theory, the associative-activation theory and the activationmonitoring framework of false memories, as well as the potential role of an impaired and immature cognitive system in adopting a semantic gist strategy in the absence of episodic memory.