Hepatocytes are targeted for infection by a number of major human pathogens, including Hepatitis B Virus, Hepatitis C Virus and malaria. However, hepatocytes are also immunological agents in their own right. In systemic immunity, they are central in the acute-phase response, which floods the circulation with defensive proteins during diverse stresses including ischemia, physical trauma and sepsis. They express a variety of innate immune receptors and when challenged with Pathogen- or Damage-Associated Molecular Patterns, can deliver cell-autonomous innate immune responses that may result in host defense, or in immunopathology. Important human pathogens have evolved mechanisms to subvert these responses. Finally, hepatocytes talk directly to T cells, resulting in a bias towards immune tolerance.