This article presents the results of a pilot study on the use of conspiracy beliefs by American Indian (AI) men who have sex with men and their peers to explain the origins of HIV/AIDS. We found that one-third (N = 15) of the individuals surveyed believed that HIV/AIDS was intentionally created by "Whites, White Christians, or the Federal government" and purposely spread among minority populations. Conspiracy beliefs, we argue, should be looked at as a potential form of power recognition where AIs draw on their experiences of oppression to explain the presence of HIV/AIDS within their communities, at the same time that they draw on public health knowledge to explain how humans get HIV/AIDS. We advocate further research to better ascertain the effect that conspiracy beliefs have on HIV prevention and the treatment of individuals living with HIV/AIDS. (Contains 4 tables.)