Carbonate-hosted massive sulfide ores of the American cordillera compose a distinctive genetic class. Discordant fea- tures of occurrence together with measured high-temperatures of formation indicate their essential epigenetic character and close spatial association with centers of thermal activity during evolution of the cordillera. Their metallogenic character is complex from region to region: Cu-Zn-Pb-Ag, Pb-Zn-Ag, and Cu-Zn-Ag-Au represent extremes of composition and each may be identified with specific terranes of occurrence, notwithstand- ing an inferred common process of formation. Beyond the presence of a thermal center, other controls that may be identi- fied include apparent but obscure properties of primary perme- ability or chemistry of hosting strata, and secondary controls are imposed by stratigraphic differences in which permeability is strongly contrasted. Structures that act as channelways may be identified in some instances. Notwithstanding their intrinsic value, search for these ores is difficult and requires the solution of complex geochemical and three-dimensional geometric problems.