Objective: The purpose of this study was to explore the utility of providing verbal prompts for information not recalled during standard administration of the Visual Reproduction II subtest (VR II) of the Wechsler Memory Scale, Fourth Edition (WMS-IV). Method: Subjects were 75 patients referred to a neurology/neuropsychology clinic who underwent neuropsychological evaluation including measures of visual-spatial ability, language, attention, memory, and executive functions. Subjects were divided into three groups based on the necessity and effectiveness of providing prompts after VR II: 1.) No Cue patients (n = 22; mean/SD: age = 52.32/9.40. education = 16.05/2.79) remembered at least part of all designs in standard administration and received no prompting; 2.) Cue Improved patients (n = 26; mean/SD: age = 52.35/12.85, education = 13.12/2.05) did not remember all designs in VR II and remembered additional designs with prompting; and 3.) Cue Not Improved patients (n = 27; mean/SD: age = 58.11/12.14. education = 12.89/2.38) did not recall all designs in VR II and did not remember additional designs with prompting. Results: There were significant differences between the three groups on 17 measures of auditory-verbal and visual-graphic memory (all p's < .01). Conclusion(s): These findings indicate that a cued delayed recall trial for VR II reliably differentiates severity of memory impairment in a heterogeneous group of patients.