Abstract: The anti-D meson self-energy is evaluated self-consistently, using unitarized coupled-channel theory, by computing the in-medium meson-baryon T matrix in the C = -1, S = 0 sector. The heavy pseudo-scalar and heavy vector mesons, (D) over bar and (D) over bar*, are treated on equal footing as required by heavy-quark spin symmetry. Results for energy levels and widths of (D) over bar (-) mesic atoms in C-12, Ca-40, Sn-118, and Pb-208 are presented. The spectrum contains states of atomic and of nuclear types for all nuclei. (D) over bar (0)-nucleus bound states are also obtained. We find that, after electromagnetic and nuclear cascade, these systems end up with the (D) over bar bound in the nucleus, either as a meson or as part of an exotic (D) over barN (pentaquark) loosely bound state.