This paper addresses the issue of finite versus countable additivity in Bayesian probability and decision theory – in particular, Savage’s theory of subjective expected utility and personal probability. I show that Savage’s reason for not requiring countable additivity in his theory is inconclusive. The assessment leads to an analysis of various highly idealized assumptions commonly adopted in Bayesian theory, where I argue that a healthy dose of, what I call, conceptual realism is often helpful in understanding the interpretational value of sophisticated mathematical structures employed in applied sciences like decision theory. In the last part, I introduce countable additivity into Savage’s theory and explore some technical properties in relation to other axioms of the system.