1 2 The cerebellar vermis, long associated with axial motor control, has been implicated in a 3 surprising range of neuropsychiatric disorders and cognitive and affective functions. Remarkably 4 little is known, however, about the specific cell types and neural circuits responsible for these 5 diverse functions. Here, using single-cell gene expression profiling and anatomical circuit 6analyses of vermis output neurons in the mouse fastigial (medial cerebellar) nucleus, we identify 7 five major classes of glutamatergic projection neurons distinguished by gene expression, 8 morphology, distribution, and input-output connectivity. Each fastigial cell type is connected 9with a specific set of Purkinje cells and inferior olive neurons and in turn innervates a distinct 10 collection of downstream targets. Transsynaptic tracing indicates extensive disynaptic links with 11 cognitive, affective, and motor forebrain circuits. These results indicate that diverse cerebellar 12 vermis functions are mediated by modular synaptic connections of distinct fastigial cell types 13 which differentially coordinate posturomotor, oromotor, positional-autonomic, orienting, and 14 vigilance circuits. 15 16