Let $n$ be sufficiently large and suppose that $G$ is a digraph on $n$ vertices where every vertex has in- and outdegree at least $n/2$. We show that $G$ contains every orientation of a Hamilton cycle except, possibly, the antidirected one. The antidirected case was settled by DeBiasio and Molla, where the threshold is $n/2+1$. Our result is best possible and improves on an approximate result by Häggkvist and Thomason.