In the religion of ancient Rome, a haruspex was a person trained to practice a form of divination called haruspicy (haruspicina), the inspection of the entrails of sacrificed animals, especially the livers of sacrificed sheep and poultry. The reading of omens specifically from the liver is also known by the Greek term hepatoscopy (also hepatomancy).

The Roman concept is directly derived from Etruscan religion, as one of the three branches of the disciplina Etrusca. Such methods continued to be used well into the Middle Ages, especially among Christian apostates and pagans, with Thomas Becket apparently consulting both a haruspex and a chiromancer prior to a royal expedition against Brittany.

Roman haruspicy was a form of communication with the gods. Rather than strictly predicting future events, this form of Roman divination allowed humans to discern the attitudes of the gods and react in a way that would maintain harmony between the human and divine worlds (pax deorum).

The Babylonians were famous for hepatoscopy. This practice is mentioned in the Book of Ezekiel 21:26.

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