What are mental images needed for? A variety of everyday situations calls for us to plan ahead; one of the clever ways our mind prepares and strategizes our next move is through mental simulation. A powerful tool in running these simulations is visual mental imagery, which can be conceived as a way to activate and maintain an internal representation of the to-be-imagined object, giving rise to predictions. Therefore, under normal conditions imagination is primarily an endogenous process, and only more rarely can mental images be activated exogenously, for example, by means of intracerebral stimulation. A large debate is still ongoing regarding the neural substrates supporting mental imagery, with the neuropsychological and neuroimaging literature agreeing in some cases, but not others. This chapter reviews the neuroscientific literature on mental imagery, and attempts to reappraise the neuropsychological and neuroimaging evidence by drawing a model of mental imagery informed by both structural and functional brain data. Overall, the role of regions in the ventral temporal cortex, especially of the left hemisphere, stands out unequivocally as a key substrate in mental imagery.