The higher-order thought (HOT) theory of consciousness is a reductive representational theory of consciousness which says that what makes a mental state conscious is that there is a suitable HOT directed at that mental state. Although it seems that any neural realization of the theory must be somewhat widely distributed in the brain, it remains unclear just how widely distributed it needs to be. In section I, I provide some background and define some key terms. In section II, I argue against the view that HOT theory should treat first-order (i.e. world-directed) conscious states as requiring prefrontal cortical activity though it is reasonable to suppose that conscious states are realized in the brain. In section III, I then explore some of...