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Microwear analysis of stone tools from Levantine Mousterian sites provides evidence for the use of hafted stone spear points by Neandertals and early modern humans. Differences in the frequency of technologically assisted hunting may account for significant aspects of Levantine Mousterian variability. The ability to make and use hafted stone spear points is probably behaviorally “primitive” and one of many areas in which Neandertals and early modern humans did not differ from each other.