Most epidemiological research, beyond the simple descriptive study, is attempting to elucidate a causal relationship. This chapter continues the consideration of causal inference in a broader context, covering the principles of inductivism and refutationism that emerged in seventeenth-century Western philosophy and which have had profound influences on modern science. However, life sciences cannot rely on perfectly controlled experimental conditions and consequently a number of other principles have had to be developed to allow knowledge to accumulate despite uncertainties in hypothesis testing. For epidemiology, these include the principle of consensus (repeated experiments contributing to a ‘verdict of causality’) and the causal criteria outlined by Bradford Hill. Finally, the potential combinations of variables under investigation (causal, confounding, mediation, effect modification) are considered in relation to analysis designs.