<?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</ns2:submissionType>
        <ns2:filerInfo>
            <ns2:filer>
                <ns2:filerCredentials>
                    <ns2:cik>0001219927</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>Herriot Tabuteau</ns2:nameOfPersonForWhoseAccountTheSecuritiesAreToBeSold>
            <ns2:relationshipsToIssuer>
                <ns2:relationshipToIssuer>Officer</ns2:relationshipToIssuer>
            </ns2:relationshipsToIssuer>
        </ns2:issuerInfo>
        <ns2:securitiesInformation>
            <ns2:securitiesClassTitle>Common Stock</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>50459</ns2:noOfUnitsSold>
            <ns2:aggregateMarketValue>6808432.87</ns2:aggregateMarketValue>
            <ns2:noOfUnitsOutstanding>50412640</ns2:noOfUnitsOutstanding>
            <ns2:approxSaleDate>11/04/2025</ns2:approxSaleDate>
            <ns2:securitiesExchangeName>NASD</ns2:securitiesExchangeName>
        </ns2:securitiesInformation>
        <ns2:securitiesToBeSold>
            <ns2:securitiesClassTitle>Common Stock</ns2:securitiesClassTitle>
            <ns2:acquiredDate>05/27/2016</ns2:acquiredDate>
            <ns2:natureOfAcquisitionTransaction>Acquired as compensation -- Stock Options</ns2:natureOfAcquisitionTransaction>
            <ns2:nameOfPersonfromWhomAcquired>The Issuer</ns2:nameOfPersonfromWhomAcquired>
            <ns2:isGiftTransaction>N</ns2:isGiftTransaction>
            <ns2:amountOfSecuritiesAcquired>50459</ns2:amountOfSecuritiesAcquired>
            <ns2:paymentDate>05/27/2016</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>Herriot Tabuteau</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>Common Stock</ns2:securitiesClassTitle>
            <ns2:saleDate>10/06/2025</ns2:saleDate>
            <ns2:amountOfSecuritiesSold>19220</ns2:amountOfSecuritiesSold>
            <ns2:grossProceeds>2309661.63</ns2:grossProceeds>
        </ns2:securitiesSoldInPast3Months>
        <ns2:securitiesSoldInPast3Months>
            <ns2:sellerDetails>
                <ns2:name>Herriot Tabuteau</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>Common Stock</ns2:securitiesClassTitle>
            <ns2:saleDate>11/03/2025</ns2:saleDate>
            <ns2:amountOfSecuritiesSold>44613</ns2:amountOfSecuritiesSold>
            <ns2:grossProceeds>11902021.33</ns2:grossProceeds>
        </ns2:securitiesSoldInPast3Months>
        <ns2:securitiesSoldInPast3Months>
            <ns2:sellerDetails>
                <ns2:name>Herriot Tabuteau</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>Common Stock</ns2:securitiesClassTitle>
            <ns2:saleDate>11/03/2025</ns2:saleDate>
            <ns2:amountOfSecuritiesSold>47092</ns2:amountOfSecuritiesSold>
            <ns2:grossProceeds>234586.66</ns2:grossProceeds>
        </ns2:securitiesSoldInPast3Months>
        <ns2:securitiesSoldInPast3Months>
            <ns2:sellerDetails>
                <ns2:name>Herriot Tabuteau</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>Common Stock</ns2:securitiesClassTitle>
            <ns2:saleDate>09/12/2025</ns2:saleDate>
            <ns2:amountOfSecuritiesSold>27907</ns2:amountOfSecuritiesSold>
            <ns2:grossProceeds>3319894.86</ns2:grossProceeds>
        </ns2:securitiesSoldInPast3Months>
        <ns2:securitiesSoldInPast3Months>
            <ns2:sellerDetails>
                <ns2:name>Herriot Tabuteau</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>Common Stock</ns2:securitiesClassTitle>
            <ns2:saleDate>09/15/2025</ns2:saleDate>
            <ns2:amountOfSecuritiesSold>15254</ns2:amountOfSecuritiesSold>
            <ns2:grossProceeds>1790378.76</ns2:grossProceeds>
        </ns2:securitiesSoldInPast3Months>
        <ns2:securitiesSoldInPast3Months>
            <ns2:sellerDetails>
                <ns2:name>Herriot Tabuteau</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>Common Stock</ns2:securitiesClassTitle>
            <ns2:saleDate>09/16/2025</ns2:saleDate>
            <ns2:amountOfSecuritiesSold>19719</ns2:amountOfSecuritiesSold>
            <ns2:grossProceeds>2251690.92</ns2:grossProceeds>
        </ns2:securitiesSoldInPast3Months>
        <ns2:securitiesSoldInPast3Months>
            <ns2:sellerDetails>
                <ns2:name>Herriot Tabuteau</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>Common Stock</ns2:securitiesClassTitle>
            <ns2:saleDate>10/07/2025</ns2:saleDate>
            <ns2:amountOfSecuritiesSold>13390</ns2:amountOfSecuritiesSold>
            <ns2:grossProceeds>1590307.54</ns2:grossProceeds>
        </ns2:securitiesSoldInPast3Months>
        <ns2:securitiesSoldInPast3Months>
            <ns2:sellerDetails>
                <ns2:name>Herriot Tabuteau</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>Common Stock</ns2:securitiesClassTitle>
            <ns2:saleDate>10/08/2025</ns2:saleDate>
            <ns2:amountOfSecuritiesSold>12774</ns2:amountOfSecuritiesSold>
            <ns2:grossProceeds>1518049.39</ns2:grossProceeds>
        </ns2:securitiesSoldInPast3Months>
        <ns2:remarks>The sales of shares set forth herein are made in connection with a selling plan dated 6/13/2025, that is intended to comply with Rule 10b5-1(c).</ns2:remarks>
        <ns2:noticeSignature>
            <ns2:noticeDate>11/04/2025</ns2:noticeDate>
            <ns2:planAdoptionDates>
                <ns2:planAdoptionDate>06/13/2025</ns2:planAdoptionDate>
            </ns2:planAdoptionDates>
            <ns2:signature>Goldman Sachs &amp; Co. LLC on behalf of Herriot Tabuteau</ns2:signature>
        </ns2:noticeSignature>
    </ns2:formData>
</ns2:edgarSubmission>
