Purpose: While behavioral aphasia therapy is beneficial (Brady et al., 2016), we do not fully understand factors that predict therapy response, or that contribute to extra-linguistic aspects of living with aphasia (e.g., psychosocial). The purpose of this Viewpoint is to postulate that inner speech – the ability to talk to oneself in one’s head – may be an important factor. However, prior work evaluating inner speech in aphasia has been limited in scope. Here, we innovatively draw from interdisciplinary evidence to discuss a more comprehensive view of inner speech and propose how evaluating a multidimensional inner speech may be meaningful in understanding living with aphasia and aphasia recovery. Methods: We give an interdisciplinary overview of inner speech, as it relates to aphasia. Results: Research with persons with aphasia shows that inner speech can be relatively spared in comparison to overt speech. However, this research has taken a narrow view of inner speech, defining inner speech as a covert ‘voice’ drawn upon during experimental tasks, such as object naming, rhyme decisions, or tongue twisters. Cross disciplinary research evaluating inner speech has identified its multidimensionality (specifically, dimensions of intentionality, condensation, and dialogality). Inner speech evaluated across these dimensions in neurotypical populations has shown that inner speech can be related to personal factors like self-awareness; retain phonetic features but also be like ‘thinking in pure pictures; and be both monologic and dialogic. Conclusions: Quantifying a multidimensional inner speech in aphasia will enable future work elaborating on factors related to extra-linguistic and linguistic processes of recovery, as well as living well with aphasia.