A spelling disorder that received much attention recently is the so-called graphemic buffer impairment. Caramazza et al. (1987) presented the first systematic case study of a patient with this disorder. Miceli & Capasso (2006) provide an extensive overview of the relevant literature. This article adds to the literature by describing a Dutch case, i.e. patient BM. We demonstrate how specific features of Dutch and Dutch orthography interact with the graphemic buffer impairment. In addition, we paid special attention to the influence of grapheme position on the patient’s spelling accuracy. For this we used, in contrast with most of the previous literature, the proportional accountability method described in Machtynger & Shallice (2009). We show that by using this method the underlying error distribution can be more optimally captured than with classical methods. The result of this analysis replicates two distributions that have been previously reported in the literature. Finally, attention will be paid to the role of phonology in the described disorder.