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Fatigue is one of the most commonly reported, distressing, and persistent symptoms after acquired brain injury (ABI), including traumatic head injury and stroke, with an estimated incidence of more than 60% across the range of injury severity [1,2]. Injury severity is not necessarily a predictive factor in the severity of fatigue experienced, with fatigue reported after mild and very severe ABI [3]. Persistent fatigue is associated with lower rates of return to work [4] and higher mortality post-stroke [5]. Despite this, evidence for management remains inadequate [6] and clinically people report feeling unprepared for this consequence of their brain injury.