New-world leafhoppers with strongly flattened heads are here assigned to three tribes: Deltocephalini (six genera), Dorycephalini (two genera), and Hecalini (seven genera). Revised keys are presented to the new-world genera, and 44 new-world species of the Nearctic genera Attenuipyga Oman (Dorycephalini) and Neohecalus Linnavuori, the Holarctic genera Hecalus Stål and Memnonia Ball, and the widespread new-world genus Spangbergiella Signoret (Hecalini). In Dorycephalini, Attenuipyga (with subgenus Dorycara Emeljanov, stat.nov.) has nine species, including Attenuipyga (s.s.) joyceaesp.nov. from Manitoba and Dorycephalus sinuatus Beamer, 1942b = Dorycephalus minor Osborn, 1920, syn.nov. In Hecalini, 10 species in Hecalus, 3 in Neohecalus, and 15 in Memnonia are recognized, including 20 species formerly in Parabolocratus Fieber, plus Hecalus finnamoreisp.nov., Neohecalus magnificussp.nov., Memnonia anthalopussp.nov., Memnonia maiasp.nov., and Memnonia panzerisp.nov. from the northern prairies and Memnonia leptaleasp.nov. from the Gulf states. Parabolocratus continuus DeLong, 1938 and Parabolocratus planus Shaw, 1932 are reduced to subspecific status in Hecalus montanus, and three names are synonymized: Parabolocratus inflatus DeLong, 1938 = Hecalus montanus (Ball, 1900); Parabolocratus rotundus DeLong, 1938 = Hecalus major (Osborn, 1915); and Parabolocratus elongatus DeLong, 1938 = Memnonia grandis (Shaw, 1932) syn.nov.