<?xml version="1.0" encoding="UTF-8"?><ns2:edgarSubmission xmlns:com="http://www.sec.gov/edgar/common" xmlns:ns2="http://www.sec.gov/edgar/ownership">
    <ns2:headerData>
        <ns2:submissionType>144/A</ns2:submissionType>
        <ns2:previousAccessionNumber>0001958244-26-000251</ns2:previousAccessionNumber>
        <ns2:filerInfo>
            <ns2:filer>
                <ns2:filerCredentials>
                    <ns2:cik>0001805812</ns2:cik>
                    <ns2:ccc>XXXXXXXX</ns2:ccc>
                </ns2:filerCredentials>
            </ns2:filer>
            <ns2:liveTestFlag>LIVE</ns2:liveTestFlag>



        </ns2:filerInfo>
    </ns2:headerData>
    <ns2:formData>
        <ns2:issuerInfo>
            <ns2:issuerCik>0001579428</ns2:issuerCik>
            <ns2:issuerName>Axsome Therapeutics, Inc.</ns2:issuerName>
            <ns2:secFileNumber>001-37635</ns2:secFileNumber>
            <ns2:issuerAddress>
                <com:street1>One World Trade Center</com:street1>
                <com:street2>29th Floor</com:street2>
                <com:city>New York</com:city>
                <com:stateOrCountry>NY</com:stateOrCountry>
                <com:zipCode>10007</com:zipCode>
            </ns2:issuerAddress>
            <ns2:issuerContactPhone>1-212-332-3241</ns2:issuerContactPhone>
            <ns2:nameOfPersonForWhoseAccountTheSecuritiesAreToBeSold>Mark Jacobson</ns2:nameOfPersonForWhoseAccountTheSecuritiesAreToBeSold>
            <ns2:relationshipsToIssuer>
                <ns2:relationshipToIssuer>Officer</ns2:relationshipToIssuer>
            </ns2:relationshipsToIssuer>
        </ns2:issuerInfo>
        <ns2:securitiesInformation>
            <ns2:securitiesClassTitle>Class A Common</ns2:securitiesClassTitle>
            <ns2:brokerOrMarketmakerDetails>
                <ns2:name>Goldman Sachs &amp; Co. LLC</ns2:name>
                <ns2:address>
                    <com:street1>200 West Street</com:street1>
                    <com:city>New York</com:city>
                    <com:stateOrCountry>NY</com:stateOrCountry>
                    <com:zipCode>10282</com:zipCode>
                </ns2:address>
            </ns2:brokerOrMarketmakerDetails>
            <ns2:noOfUnitsSold>4517</ns2:noOfUnitsSold>
            <ns2:aggregateMarketValue>1010452.9</ns2:aggregateMarketValue>
            <ns2:noOfUnitsOutstanding>51439952</ns2:noOfUnitsOutstanding>
            <ns2:approxSaleDate>05/04/2026</ns2:approxSaleDate>
            <ns2:securitiesExchangeName>NASD</ns2:securitiesExchangeName>
        </ns2:securitiesInformation>
        <ns2:securitiesToBeSold>
            <ns2:securitiesClassTitle>Class A Common</ns2:securitiesClassTitle>
            <ns2:acquiredDate>05/04/2026</ns2:acquiredDate>
            <ns2:natureOfAcquisitionTransaction>Acquired as compensation -- Stock Options</ns2:natureOfAcquisitionTransaction>
            <ns2:nameOfPersonfromWhomAcquired>Issuer</ns2:nameOfPersonfromWhomAcquired>
            <ns2:isGiftTransaction>N</ns2:isGiftTransaction>
            <ns2:amountOfSecuritiesAcquired>4517</ns2:amountOfSecuritiesAcquired>
            <ns2:paymentDate>05/04/2026</ns2:paymentDate>
            <ns2:natureOfPayment>Compensation -- Cashless exercise / same-day sale</ns2:natureOfPayment>
        </ns2:securitiesToBeSold>
        <ns2:nothingToReportFlagOnSecuritiesSoldInPast3Months>N</ns2:nothingToReportFlagOnSecuritiesSoldInPast3Months>
        <ns2:securitiesSoldInPast3Months>
            <ns2:sellerDetails>
                <ns2:name>Mark Jacobson</ns2:name>
                <ns2:address>
                    <com:street1>One World Trade Center</com:street1>
                    <com:street2>29th Floor</com:street2>
                    <com:city>New York</com:city>
                    <com:stateOrCountry>NY</com:stateOrCountry>
                    <com:zipCode>10007</com:zipCode>
                </ns2:address>
            </ns2:sellerDetails>
            <ns2:securitiesClassTitle>Class A Common</ns2:securitiesClassTitle>
            <ns2:saleDate>02/26/2026</ns2:saleDate>
            <ns2:amountOfSecuritiesSold>15378</ns2:amountOfSecuritiesSold>
            <ns2:grossProceeds>2505062.36</ns2:grossProceeds>
        </ns2:securitiesSoldInPast3Months>
        <ns2:securitiesSoldInPast3Months>
            <ns2:sellerDetails>
                <ns2:name>Mark Jacobson</ns2:name>
                <ns2:address>
                    <com:street1>One World Trade Center</com:street1>
                    <com:street2>29th Floor</com:street2>
                    <com:city>New York</com:city>
                    <com:stateOrCountry>NY</com:stateOrCountry>
                    <com:zipCode>10007</com:zipCode>
                </ns2:address>
            </ns2:sellerDetails>
            <ns2:securitiesClassTitle>Class A Common</ns2:securitiesClassTitle>
            <ns2:saleDate>02/26/2026</ns2:saleDate>
            <ns2:amountOfSecuritiesSold>20000</ns2:amountOfSecuritiesSold>
            <ns2:grossProceeds>3221848</ns2:grossProceeds>
        </ns2:securitiesSoldInPast3Months>
        <ns2:remarks>Amendment to the Form 144 filed on May 4, 2026, which inadvertently omitted the Date of Plan Adoption.</ns2:remarks>
        <ns2:noticeSignature>
            <ns2:noticeDate>05/05/2026</ns2:noticeDate>
            <ns2:planAdoptionDates>
                <ns2:planAdoptionDate>11/10/2025</ns2:planAdoptionDate>
            </ns2:planAdoptionDates>
            <ns2:signature>Goldman Sachs &amp; Co. LLC on behalf of Mark Jacobson</ns2:signature>
        </ns2:noticeSignature>
    </ns2:formData>
</ns2:edgarSubmission>
