Fragmentalism was originally introduced as a new A-theory of time. It was further refined and discussed, and different developments of the original insight have been proposed. In a celebrated paper, Jonathan Simon contends that fragmentalism delivers a new realist account of the quantum state—which he calls conservative realism—according to which: the quantum state is a complete description of a physical system, the quantum state is grounded in its terms, and the superposition terms are themselves grounded in local goings-on about the system in question. We will argue that fragmentalism, at least along the lines proposed by Simon, does not offer a new, satisfactory realistic account of the quantum state. This raises the question about whether there are some other viable forms of quantum fragmentalism.