Idiom comprehension was assessed in 10 aphasic patients with semantic deficits by means of a string-to-picture matching task. Patients were also submitted to an oral explanation of the same idioms, and to a word comprehension task. The stimuli of this last task were the words following the verb in the idioms. Idiom comprehension was severely impaired, with a bias toward the literal interpretation. Very few errors were produced with words, making impossible to establish a correlation between comprehension of idioms and of individual words. The difficulties in idiom comprehension seemed to be due to the fact that patients rely on a literal-first strategy, accessing a figurative interpretation only when the linguistic analysis fails to yield acceptable results.