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Description: In contrast to language production, there are few comprehension models of the representation and use of grammatical gender in long-term memory. To bridge this gap, we conducted a systematic review of empirical studies on the role of gender-form regularities in the recognition of nouns in isolation and within sentences. The results of a final sample of 40 studies suggest that there are two routes for the retrieval of gender during real-time comprehension: a form-based route and a lexical-based route. Our review indicates that the use of these routes depends on the degree of gender transparency of the language and the degree of overtness of the experimental paradigm. To accommodate these findings, we incorporate a dual-route mechanism within a general model of lexical access in comprehension, the AUSTRAL (Activation Using Structurally Tiered Representations and Lemmas) model, and identify directions for future research.