Earlier work has shown that free recall tasks produce a robust mood-congruent memory effect in depression, whereas recognition tasks produce heterogeneous results. This study aimed to further investigate recognition memory for positive, negative and neutral words in depressed patients and matched comparison participants with the Remember/Know/Guess procedure for assessing recollection and familiarity. No mood-congruent memory bias effect was detected in discrimination abilities. However, depressed patients recollected (more Remember responses) more negative than positive or neutral words, whereas comparison participants recollected more positive than neutral words. No mood-congruent pattern was evidenced for Know responses. However, the depressed patients responded to fewer words overall with Know responses than the comparison participants. These results suggest that the mood-congruent memory pattern in depressed patients is related to conscious recollection rather than to familiarity. Attentional biases toward negative words and elaboration processes and/or encoding in reference to the self may contribute to these findings.