A cam follower for actuating a gas exchange valve of an internal combustion engine. The cam follower has a housing and a cam roller mounted in a recess of the housing for disengaging a cam of a camshaft. The cam roller is mounted radially on a bearing journal by a needle bearing that extends in the bearing bore thereof. The width of the needle bearing is significantly greater than the width of the cam roller in the region of the cam disengagement. The width of the needle bearing is also significantly greater than the width of the cam roller in the region of the bearing bore and significantly greater than the clear space between roller contact surfaces which delimit the recess and on which the cam roller runs axially with the end faces thereof.