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Amidst predominant focus on positive traits for entrepreneurship, this paper explores how disorders such as ADHD influence the decision to engage in entrepreneurial action and the success of entrepreneurial action. Based on a multiple case study of fourteen entrepreneurs previously diagnosed with ADHD, our inductive model highlights impulsivity as a major driver of entrepreneurial action and hyperfocus as a major catalyst for its consequences, both positive and negative. By drawing attention to the positive implications of symptoms commonly seen as negative, the paper opens several major avenues for future theoretical development and empirical research.