Family history events have been shown to be reliable predictors of eating and body image concerns; however, little is known regarding how family history events compare in a clinical sample, or if these events differ by gender. The current study addresses this paucity, focusing on 3,129 university students seeking clinical services. Having a family member with an eating problem was the most consistent family history predictor across all severity levels. Men and women demonstrated different family history predictors, indicating possible separate pathways to eating or body image concerns based on gender.