The representation theory of involutory (or 'maximal compact') subalgebras of infinite-dimensional Kac-Moody algebras is largely terra incognita, especially with regard to fermionic (double-valued) representations. Nevertheless, certain distinguished such representations feature prominently in proposals of possible symmetries underlying M theory, both at the classical and the quantum level. Here we summarise recent efforts to study spinorial representations systematically, most notably for the case of the hyperbolic Kac-Moody algebra $E_{10}$ where spinors of the involutory subalgebra $K(E_{10})$ are expected to play a role in describing algebraically the fermionic sector of $D=11$ supergravity and M theory. Although these results remain ve...