Abstract In order to demonstrate elevated disgust sensitivity and facilitated disgust learning in patients suffering from blood injection injury phobia, 23 phobics and 20 controls underwent an evaluative conditioning experiment. They were presented with picture pairs consisting of affectively neutral pictures (CS), which were followed by either disgust-inducing, fear-inducing, pleasant, or neutral scenes (US). During the presentation we recorded the electromyogram (EMG) of the musculus levator labii as a specific disgust indicator. Affective ratings for the pictures were determined before and after conditioning. Also, CS-US contingency verbalisation (CV) was assessed. Phobics reported a greater overall disgust sensitivity, experienced stronger feelings of disgust, and showed greater EMG responses while viewing disgust-eliciting scenes than control subjects. Evaluative conditioning occurred equally in both groups and depended on CV.