Are all categories of objects recognized in the same manner visually? Evidence from neuropsychology suggests they are not: some brain damaged patients are more impaired in recognizing natural objects than artefacts whereas others show the opposite impairment. Category-effects have also been demonstrated in neurologically intact subjects, but the findings are contradictory and there is no agreement as to why category-effects arise. This article presents a pre-semantic account of category-effects (PACE) in visual object recognition. PACE assumes two processing stages: shape configuration (the binding of shape elements into elaborate shape descriptions) and selection (among competing representations in visual long-term memory), which are held to be differentially affected by the structural similarity between objects. Drawing on evidence from clinical studies, experimental studies with neurologically intact subjects and functional imaging studies, it is argued that PACE can account for category-effects at both behavioural and neural levels in patients and neurologically intact subjects. The theory also accounts for the way in which category-effects are affected by different task parameters (the degree of perceptual differentiation called for), stimulus characteristics (whether stimuli are presented as silhouettes, full line-drawings, or fragmented forms), stimulus presentation (stimulus exposure duration and position) as well as interactions between these parameters.