Visuospatial neglect is a neuropsychological condition commonly experienced after stroke, whereby a patient is unable to attend to stimuli on their contralesional side.We aimed to investigate whether egocentric and allocentric neglect are functionally dissociable and differ in prevalence, laterality and outcome predictors. A consecutive sample of 366 acute stroke patients completed the Broken Hearts test from the Oxford Cognitive Screen. A subsample of 160 patients was followed up 6 months later. We evaluated the association between egocentric and allocentric neglect, contrasted the prevalence and severity of left-sided versus right-sided neglect, and determined the predictors of persistence versus recovery at follow up. Clinically, we found a double dissociation between ego-and allocentric neglect, with 50% of the neglect patients showing 'only' egocentric neglect and 25% 'only' allocentric neglect.Importantly, patients with only allocentric neglect did not demonstrate any egocentric spatial bias in the locations of the allocentric errors. Left-sided egocentric neglect was more prevalent and more severe than right-sided egocentric neglect, though right-sided neglect was still highly prevalent in the acute stroke sample (35%). Leftsided allocentric neglect was more severe but not more prevalent than right-sided allocentric neglect. Overall recovery of neglect was high: 81% of egocentric and 75% of allocentric neglect patients recovered. Severity of neglect was the only significant behavioural measure for predicting recovery at 6 months.