facial appearance has been suggested to provide an honest cue of an individual's biological condition. However, there is little direct evidence that facial attractiveness reflects actual health. Here we tested if facial appearance is related with metabolic health biomarkers. Face photographs of 161 healthy, young women (M age = 28.59, SD age = 2.34) were assessed in terms of perceived attractiveness and health. Metabolic health was evaluated based on levels of markers of lipid and glucose metabolism balance, liver functioning, and inflammation. BMI, testosterone (T), and estradiol (E2) levels were controlled. Facial attractiveness, but not health, was negatively related with lipid profile components detrimental to health (total cholesterol, LDL, triglycerides) but not with relatively protective for health HDL. When controlled for BMI, E2, and T, only the relationship between attractiveness and triglycerides remained significant. Facial appearance was unrelated with glucose metabolism, liver functioning, and inflammatory markers. The results suggest, that for healthy women of reproductive age, such measures as BMI and sex hormone levels may be better predictors of attractiveness, compared to measures of metabolic health. Markers of lipid, glucose homeostasis, liver functioning or low-grade inflammation may be rather indicators of future health, of lesser importance in mating context, thus only modestly reflected in facial appearance. Evolutionary theories propose that facial attractiveness is a cue of an individual's biological condition 1,2. Thus, facial attractiveness and individual characteristics, cross-culturally perceived as attractive, such as sexual dimorphism 3,4 , symmetry 5 , averageness 6 , carotenoid-linked skin colour 7 , and homogenous skin texture 8,9 are expected to develop and be displayed only in individuals with good health and high fertility, and to correlate with various measures of biological condition 10,11 , allowing for the best possible partner selection. Although perceived facial attractiveness is widely recognized as such honest cue of an individual's health 11-16 , there are relatively few studies testing this assumption directly. Furthermore, the results of these studies are ambiguous, indicating none 17 or positive correlation between perceived attractiveness and health measures, however inconsistent across sexes or the studied measures 7,18. Male facial attractiveness has been suggested to reflect the strength of antibody response to vaccination 19 and cytokine response after stimulation with lipopolysaccharide 20 , two direct measures of immune functioning. Furthermore, Gangestad et al. 21 showed that male facial attractiveness, symmetry and masculinity are negatively related with oxidative stress level, an important physiological measure of general body functioning, underlying many pathological processes and diseases. For women, the results are more ambiguous and, in fact, there is little direct evidence that female facial appearance signals immunity or health. Some research has ...