In line with other findings (McCreary and Sasse, 2000; Chittester and Hausenblas, 2009) we found relations between certain facets of low self-esteem and drive for muscularity. While fitness-related self-esteem represents to what extent individuals are content with their athletic and coordination skills, physical attractiveness-related self-esteem symbolizes the satisfaction with one’s appearance and a person’s confidence to be attractive (Schütz and Sellin, 2006). Both showed a negative relation with drive for muscularity. Fitness-related self-esteem was related to all facets of drive for muscularity. Physical attractiveness related self-esteem was associated only with global and attitudinal, but not behavioral aspects. This could result from peoples’ assumptions that physical attractiveness is often associated with facial attractiveness (Currie and Little, 2009), so that there might be no expectation that exercising could have an influence on physical attractiveness-related self-esteem. Global self-esteem and performance-related self-esteem, although significantly correlated to drive for muscularity, did not reach statistical significance in the regression analysis, pointing to the vital influence of body-related aspects of self-esteem in opposition to more general self-esteem variables. Although, it has been found that weight-training and bodybuilding samples report higher self-esteem than controls (Pickett et al., 2005), body related self-esteem seems to be important for the desire to become more and more muscular, which is of significance especially in populations with higher risk for MD.