This study examined the impact of presentation modality and the effectiveness of direct and indirect measures of deception to distinguish truthful from deceptive confessions. Confession statements were presented in one of three formats: audiovisual, audio-only, or written text. Forty-six observers classified each statement as true or false and provided ratings of confidence, information sufficiency, perceived cognitive load, and suspiciousness. Compared to audio and written confessions, exposure to audiovisual recordings yielded significantly lower accuracy rates for direct veracity judgements, with below chance level performance. There was no evidence that indirect measures assisted observers in discriminating truthful from deceptive confessions. Overall, observers showed a strong bias to believe confessions with poor detection rates for false statements. Reliance on video recordings to assess the veracity of confession evidence is unlikely to reduce wrongful convictions arising from false confessions.