Some memories are linked to a specific time and place, allowing one to re-e
xperience the original event, whereas others are accompanied only by a feel
ing of familiarity. To uncover the distinct neural bases for these two type
s of memory, we measured brain activity during memory retrieval using event
-related functional magnetic resonance imaging. We show that activity in th
e hippocampus increased only when retrieval was accompanied by conscious re
collection of the learning episode. Hippocampal activity did not increase f
or items recognized based on familiarity or for unrecognized items. These r
esults indicate that the hippocampus selectively supports the retrieval of
episodic memories.