Losses are a possibility in many risky decisions, and organisms have evolved mechanisms to evaluate and avoid them. Laboratory and field evidence suggests that people often avoid risks with losses even when they might earn a substantially larger gain, a behavioral preference termed "loss aversion." The cautionary brake on behavior known to rely on the amygdala is a plausible candidate mechanism for loss aversion, yet evidence for this idea has so far not been found. We studied two rare individuals with focal bilateral amygdala lesions using a series of experimental economics tasks. To measure individual sensitivity to financial losses we asked participants to play a variety of monetary gambles with possible gains and losses. Although both participants retained a normal ability to respond to changes in the gambles' expected value and risk, they showed a dramatic reduction in loss aversion compared to matched controls. The findings suggest that the amygdala plays a key role in generating loss aversion by inhibiting actions with potentially deleterious outcomes.oss aversion describes the widespread behavioral avoidance of choices that can lead to losses, even when accompanied by equal or much larger gains. This phenomenon was first proposed as part of "prospect theory" (1), a theory of choice among monetary gambles. Across many studies, losses typically loom about 1.5-2 times as large as gains: for instance, people will avoid gambles in which they are equally likely to either lose $10 or win $15, even though the expected value of the gamble is positive ($2.50). Loss aversion has been well documented in the laboratory and in many field settings (2), including high-stakes game show decisions (3), financial markets (4), politics (5), trade policy for declining industries (6), rate of organ donation for transplant cases (7) and has also been evident in monkey behavior (8). But what drives loss-averse behavior, and what neural structures mediate the effect?Our study tested the hypothesis that the amygdala mediates loss aversion, an idea motivated by a large literature implicating this brain structure in processing fear and threat (9), as well as in anticipation and experience of monetary loss (10). Given the amygdala's prominent role in affective processing, it is also relevant to note that loss aversion appears to increase with affective enrichment of "hedonic" consumer goods (e.g., music CDs versus computer disks) (11) and more generally with emotional attachment (12). Intriguingly, recent theories of amygdala function argue that the amygdala subserves an abstract function in detecting uncertainty (13) or ambiguity (14) in the environment and in triggering arousal and vigilance as a consequence. This hypothesis is consistent with a tendency for amygdalalesioned monkeys to approach stimuli that healthy monkeys avoid (15), as well as greater amygdala activation in people with more inhibited personalities (16). Furthermore, a recent study found that increased cognitive control of the autonomic emotional responses normall...