Did Tom’s use of nuts in the dish cause Billy’s allergic reaction? According to counterfactual theories of causation, an agent is judged a cause to the extent that their action made a difference to the outcome (Gerstenberg, Goodman, Lagnado, & Tenenbaum, 2020; Gerstenberg, Halpern, & Tenenbaum, 2015; Halpern, 2016; Hitchcock & Knobe, 2009). In this paper, we argue for the integration of epistemic states into current counterfactual accounts of causation. In the case of ignorant causal agents, we demonstrate that people’s counterfactual reasoning primarily targets the agent’s epistemic state – what the agent doesn’t know –, and their epistemic actions – what they could have done to know – rather than the agent’s actual causal action. In four experiments, we show that people’s causal judgment as well as their reasoning about alternatives is sensitive to the epistemic conditions of a causal agent: Knowledge vs. ignorance (Experiment 1), self-caused vs. externally caused ignorance (Experiment 2), the number of epistemic actions (Experiment 3), and the epistemic context (Experiment 4). We see two advantages in integrating epistemic states into causal models and counterfactual frameworks. First, assuming the intervention on indirect, epistemic causes might allow us to explain why people attribute decreased causality to ignorant vs. knowing causal agents. Moreover, causal agents’ epistemic states pick out those factors that can be controlled or manipulated in order to achieve desirable future outcomes, reflecting the forward-looking dimension of causality. We discuss our findings in the broader context of moral and causal cognition.