A remote microphone (RM) links a talker's microphone to a listener's hearing aids (HAs). The RM improves intelligibility in noise and reverberation, but the binaural cues necessary for externalization are lost. Augmenting the RM signal with synthesized binaural cues and early reflections enhances externalization, but interactions of the RM signal with the HA processing could reduce its effectiveness. These potential interactions were evaluated using RM plus HA processing in a realistic listening simulation. The HA input was the RM alone, the augmented RM signal, the acoustic inputs at the HA microphones, including reverberation measured using a dummy head, or a mixture of the augmented RM and acoustic input signals. The HA simulation implemented linear amplification or independent dynamic-range compression at the two ears and incorporated the acoustic effects of vented earmolds. Hearing-impaired listeners scored sentence stimuli for intelligibility and rated clarity, overall quality, externalization, and apparent source width. Using the RM improved intelligibility but reduced the spatial impression. Increasing the vent diameter reduced clarity and increased the spatial impression. Listener ratings reflect a trade-off between the attributes of clarity and overall quality and the attributes of externalization and source width that can be explained using the interaural cross correlation.