Summary 1.The odor has certain characteristics which allow its identification on the breath of some patients with various forms of liver disease. It was not noted in normal controls. 2.Fetor hepaticus was noted twice as frequently in patients with jaundice not of obstructive origin as in those with obstruction. 3.The presence or absence of hepaticus could not be correlated with age, sex, degree of bilirubinemia or impairment of liver function. 4.Fetor hepaticus has been found in the urine of patients with liver disease and also in that of normal controls. Temporary sterilization of the intestinal tract did not cause a decrease of excretion of in the urine in 2 of 3 cases. 5.Fetor hepaticus was noted in several instances in which liver injury could not be detected or proved. 6.In the attempt to isolate the substance responsible for the fetor of urine the amount of obtained was too small to permit isolation and characterination. However, the chemical and physical properties of fetor and its hydrochloride suggest that it may be a weak base, probably a tertiary amine, having five or more carbon atoms. The odor as extracted from the urine is similar but not identical to that of α-methylpiperidine.