This is a presentation given at the 2015 meeting of the Society for Economic Botany. Abstract: In 1969, Galt and Galt conducted an ethnobotanical survey [1] in the community of Khamma on the circum-Sicilian volcanic island of Pantelleria, located 67 km from the Tunisian coast. Since then, a number of botanical studies concerning the local wild flora and cultivation of the zibebo grape and capers have been conducted, but none have investigated traditional ecological knowledge regarding the use of wild plants and fungi. Here, 45 years later, we revisit this topic, examining the current day knowledge and practices concerning wild plants and fungi on the island. A total of 42 in-depth interviews were conducted in June 2014 in six communities. All interviews were conducted in person in Italian with prior informed consent. We employed two primary means of eliciting responses concerning traditional practices; informants were asked to: 1) free-list the most commonly used plants for wild foods, general medicine, and skin remedies; and 2) view and discuss a booklet composed of photos of taxa listed in the Galt study. A total of 86 botanical and 19 fungal taxa representing 54 families were cited by the study participants. While many plant-based traditions have disappeared from daily practice, especially those related to traditional fishing and hunting, they remain in the memories of the eldest subset of the population. For example, one of the most pervasive species in the landscape, Opuntia ficus-indica, has current day uses that persist (e.g., food source and shade source for cultivated vegetables), but its past applications were much more diverse, and included manipulation into hunting snares for birds. Other predominant flora included a number of Euphorbia spp., whose toxic latex was regularly used as a fish poison. Fungi, on the other hand, represent an important source of wild food today, and are widely recognized and regularly consumed. In conclusion, we have found that traditional e knowledge remains important to everyday practices of Pantescans, ranging in applications from wild foods, agricultural tools, and traditional medicines.