This chapter starts with three cases of bizarreness. These are used to discuss some interpretative issues in patients who present with bizarreness. Bizarre delusion in the Diagnostic and Statistical Manual (DSM) is critically examined, as is the relationship of bizarreness to the clinical phenomenology of schizophrenia. This chapter touches upon some of the communicative challenges that face clinicians and patients with bizarreness and the role of the lifeworld approach. The chapter ends with a summary of points relevant to the psychopathologist in training.