Abstract: A hydraulic cam follower (1), such as a roller tappet, is provided. This is used for the actuation of two identically operating gas-exchange valves and should be installed inclined to the direction of the force of gravity. The cam follower (1) comprises a pot-shaped housing (2), whose bottom (3) is provided with a roller as a cam contacting element (4). In the housing (2), two guides (5) extending parallel to the direction of the internal combustion engine are provided, in each of which a pressure piston (6) is arranged so that it can move axially, whose end (7) away from the housing is constructed as a support for contact with a respective tappet pushrod. Each pressure piston (6) encloses a reservoir (11) for hydraulic medium.