N-Ylide complexes of Ir have been generated by C(sp3)H activation of α-pyridinium or α-imidazolium esters in reactions with [Cp*IrCl2]2 and NaOAc. These reactions are rare examples of C(sp3)H activation without a covalent directing group, which—even more unusually—occur α to a carbonyl group. For the reaction of the α-imidazolium ester [3H]Cl, the site selectivity of CH activation could be controlled by the choice of metal and ligand: with [Cp*IrCl2]2 and NaOAc, C(sp3)H activation gave the N-ylide complex 4; in contrast, with Ag2O followed by [Cp*IrCl2]2, C(sp2)H activation gave the N-heterocyclic carbene complex 5. DFT calculations revealed that the N-ylide complex 4 was the kinetic product of an ambiphilic CH activation. Examination of the computed transition state for the reaction to give 4 indicated that unlike in related reactions, the acetate ligand appears to play the dominant role in CH bond cleavage.