Somewhat orthogonal to the distinction between agent-centered versus patient-centered deontological theories are contractualist deontological theories. Morally wrong acts are, on such accounts, those acts that would be forbidden by principles that people in a suitably described social contract would accept (e.g., Rawls 1971; Gauthier 1986), or that would be forbidden only by principles that such people could not “reasonably reject” (Scanlon 2003). In deontology, as elsewhere in ethics, it is not entirely clear whether a contractualist account is really normative as opposed to metaethical. If such account is a first order normative account, it is probably best construed as a patient-centered deontology; for the central obligation would be to do onto others only that to which they have consented. But so construed, modern contractualist accounts would share the problems that have long bedeviled historical social contract theories: how plausible is it that the “moral magic” of consent is the first principle of morality? And how much of what is commonly regarded as permissible to do to people can (in any realistic sense of the word) be said to be actually consented to by them, expressly or even implicitly? In fact modern contractualisms look meta-ethical, and not normative. Thomas Scanlon’s contractualism, for example, which posits at its core those norms of action that we can justify to each other, is best construed as an ontological and epistemological account of moral notions. The same may be said of David Gauthier’s contractualism. Yet so construed, metaethical contractualism as a method for deriving moral norms does not necessarily lead to deontology as a first order ethics. John Harsanyi, for example, argues that parties to the social contract would choose utilitarianism over the principles John Rawls argues would be chosen (Harsanyi 1973). Nor is it clear that meta-ethical contractualism, when it does generate a deontological ethic, favors either an agent centered or a patient centered version of such an ethic.