Does visual imagery engage some of the same representations used in visual perception? The evidence collected by cognitive psychologists in support of this claim has been challenged by three types of alternative explanation: Tacit knowledge, according to which subjects use nonvisual representations to simulate the use of visual representations during imagery tasks, guided by their tacit knowledge of their visual systems; experimenter expectancy, according to which the data implicating shared representations for imagery and perception is an artifact of experimenter expectancies; and nonvisual spatial representation, according to which imagery representations are partially similar to visual representations in the way they code spatial relations but are not visual representations. This article reviews previously overlooked neuropsychological evidence on the relation between imagery and perception, and discusses its relative immunity to the foregoing alternative explanations. This evidence includes electrophysiological and cerebral blood flow studies localizing brain activity during imagery to cortical visual areas, and parallels between the selective effects of brain damage on visual perception and imagery. Because these findings cannot be accounted for in the same way as traditional cognitive data using the alternative explanations listed earlier, they can play a decisive role in answering the title question.The question of whether visual imagery is really visual, that is, whether it involves some of the same representations of stimuli normally engaged by the perception of those stimuli, has been the subject of a long-standing debate in cognitive psychology. This article reviews a set of empirical findings from neuropsychology that are directly relevant to this debate. I will argue that this generally overlooked source of data can play an important role in determining the relation between imagery and perception, because it is immune to many of the criticisms and alternative explanations that have plagued the cognitive psychology approach to this topic.One side of the debate maintains that imaging consists of the top-down activation of perceptual representations, that is, representations that are also activated automatically by an external stimulus during perception.