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Lateral view of a Female Hexagenia limbata (Ephemeridae) (Hex) Mayfly Dun from the Namekagon River in Wisconsin
Hex Mayflies
Hexagenia limbata

The famous nocturnal Hex hatch of the Midwest (and a few other lucky locations) stirs to the surface mythically large brown trout that only touch streamers for the rest of the year.

27" brown trout, my largest ever. It was the sub-dominant fish in its pool. After this, I hooked the bigger one, but I couldn't land it.
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Cream Cahills

Like most common names,"Cream Cahill" can refer to more than one taxon. They're previewed below, along with 5 specimens. For more detail click through to the scientific names.

Mayfly Species Stenonema femoratum

These are often called Cream Cahills.
This species is only one of many minor Light Cahills and the only species remaining in the Stenonema genus after the classic superhatches were reclassified into Maccaffertium and Stenacron. Its habitat and behavior is not different from those species, except as noted below, and you should consult the pages for those genera if you need angling information for this hatch.
Dorsal view of a Stenonema femoratum (Heptageniidae) (Cream Cahill) Mayfly Nymph from Mongaup Creek in New York

Mayfly Species Stenonema mediopunctatum

These are often called Cream Cahills.
I have seen no mention of this species as a fishable hatch in angling literature, but it is noteworthy for the unusual coloration of the male spinners, which Malcolm and Knopp describe in Mayflies: An Angler's Study of Trout Water Ephemeroptera :

...the male only exhibits this coloration on segments eight to ten, against an otherwise whitish to translucent body.
Dorsal view of a Stenonema mediopunctatum (Heptageniidae) (Cream Cahill) Mayfly Nymph from the Namekagon River in Wisconsin

Mayfly Species Stenonema mexicanum

These are often called Cream Cahills.
This species is usually mentioned under its former name, Stenonema integrum. Now integrum is a subspecies of Maccaffertium mexicanum. It is not said to produce fishable hatches.

I've tentatively identified several specimens I collected as members of this species based on their color patterns. It may be more likely that they belong to a Midwestern color variety of Maccaffertium vicarium which produces good hatches on the river where they were collected.

Mayfly Species Stenonema modestum

These are often called Cream Cahills.
Lateral view of a Male Stenonema modestum (Heptageniidae) (Cream Cahill) Mayfly Dun from the Teal River in Wisconsin
Male Stenonema modestum (Heptageniidae) (Cream Cahill) Mayfly Spinner from unknown in Wisconsin
Stenonema modestum (Heptageniidae) (Cream Cahill) Mayfly Nymph from unknown in Wisconsin

References

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