AbstractBrainstem neurons which project to lumbar, thoracic and cervical spinal levels have been identified in the North American opossum by the horseradish peroxidase (HRP) technique. Neurons which relay to all of the levels studied are located within the medullary and pontine reticular formation as well as within the nucleus cuneatus, the nucleus of the tractus solitarius, the lateral reticular nucleus, the medullary and caudal pontine raphe nuclei, the lateral, medial and inferior vestibular nuclei, the nucleus “F,” the nucleus coeruleus, and the nucleus coeruleus, para α, the red nucleus, and the interstitial nucleus of Cajal. The lateral vestibulospinal and rubrospinal systems are topographically organized, although neurons projecting to different cord levels show considerable intermingling. Our material also provides evidence that raphe‐spinal and reticulospinal connections are organized to some degree. Neurons which backfill after cervical and thoracic placements, but not after lumbar injections, are distributed within the caudal spinal trigeminal nucleus, the nucleus intercalatus, the dorsal vagal nucleus, the cuneiform area of Castaldi, the fields of Forel, and the nucleus of Darkschewitsch. Reactive neurons are present within the lateral, dorsal and posterior hypothalamic areas as well as within the periventricular and paraventricular nuclei after thoracic placements and within the superior colliculus after injections within the cervical cord. Additionally, neurons are reactive in the nucleus ambiguus, the interpolar division of the spinal trigeminal nucleus and the rostral division of the oculomotor nucleus (Oswaldo‐Cruz and Rocha‐Miranda, '68) after HRP placements into the third and fourth cervical segments.