An optically clear silicone hydrogel contact lens comprising: a hydrated polymeric lens body that is the reaction product of a polymerizable composition comprising: a) at least 25 wt.% of at least one hydroxyalkyl methacrylate; and b) at least 20 wt. % of at least one HEMA-compatible polysiloxane represented by Formula: wherein R 1 and R 2 are independently selected from either hydrogen or a methyl group, X is CH 2 CH 2 O or CH 2 CH CH 2 O, k is an integer of 0 or 1, Z is a C 2 -C 10 alkylene, m is an integer of 0 to 160, n is an integer of 1 to 75, p is an integer of 0 to 40, q is an integer of 0 to 20, h is an integer of 1 to 75, j is an integer of 0 or 1, A is O or CH 2, i is an integer of 0 or 1, D is a C 2 -C 6 alkylene optionally substituted with one or more groups selected from hydroxyl, methoxy, methyl, and ethyl, L is either methyl or a side chain that is the same as an opposite side chain on the same silicon atom as L, Q is either methyl or a side chain that is the same as an opposite side chain on the same silicon atom as Q, where the sum of m, n, and h is at least 5, wherein the HEMA-compatible polysiloxane has an HLB value of at least 5, or has a hydroxyl group content of at least 1wt.% based on the average molecular weight of the polysiloxane, or has both an HLB value of at least 5 and has a hydroxyl group content of at least 1 wt.%, wherein the wt.% of the hydroxyalkyl methacrylate and the HEMA-compatible polysiloxane is based on the total weight of polymerizable monomers in the composition, and wherein when Z is a C 3 alkylene, and when i and j are 0, then R 1 is methyl and/or the at least one of p and q is at least 1, and when j is 1 and A is O, then i is 1 and R 1 is methyl and/or p and q are both 0 or at least 1 or at least one of p and q is at least 2 and/or D is C 3 -C 6 alkylene optionally substituted with one or more groups selected from hydroxyl, methoxy, methyl and ethyl, and HLB values are calculated in accordance with the method in the description. a hydrated polymeric lens body that is the reaction product of a polymerizable composition comprising: a) at least 25 wt.% of at least one hydroxyalkyl methacrylate; and b) at least 20 wt. % of at least one HEMA-compatible polysiloxane represented by Formula: wherein R 1 and R 2 are independently selected from either hydrogen or a methyl group, X is CH 2 CH 2 O or CH 2 CH CH 2 O, k is an integer of 0 or 1, Z is a C 2 -C 10 alkylene, m is an integer of 0 to 160, n is an integer of 1 to 75, p is an integer of 0 to 40, q is an integer of 0 to 20, h is an integer of 1 to 75, j is an integer of 0 or 1, A is O or CH 2, i is an integer of 0 or 1, D is a C 2 -C 6 alkylene optionally substituted with one or more groups selected from hydroxyl, methoxy, methyl, and ethyl, L is either methyl or a side chain that is the same as an opposite side chain on the same silicon atom as L, Q is either methyl or a side chain that is the same as an opposite side chain on the same silicon atom as Q, where the sum of m, n, and h is at least 5, wherein the HEMA-compatible polysiloxane has an HLB value of at least 5, or has a hydroxyl group content of at least 1wt.% based on the average molecular weight of the polysiloxane, or has both an HLB value of at least 5 and has a hydroxyl group content of at least 1 wt.%, wherein the wt.% of the hydroxyalkyl methacrylate and the HEMA-compatible polysiloxane is based on the total weight of polymerizable monomers in the composition, and wherein when Z is a C 3 alkylene, and when i and j are 0, then R 1 is methyl and/or the at least one of p and q is at least 1, and when j is 1 and A is O, then i is 1 and R 1 is methyl and/or p and q are both 0 or at least 1 or at least one of p and q is at least 2 and/or D is C 3 -C 6 alkylene optionally substituted with one or more groups selected from hydroxyl, methoxy, methyl and ethyl, and HLB values are calculated in accordance with the method in the description. a) at least 25 wt.% of at least one hydroxyalkyl methacrylate; and b) at least 20 wt. % of at least one HEMA-compatible polysiloxane represented by Formula: wherein R 1 and R 2 are independently selected from either hydrogen or a methyl group, X is CH 2 CH 2 O or CH 2 CH CH 2 O, k is an integer of 0 or 1, Z is a C 2 -C 10 alkylene, m is an integer of 0 to 160, n is an integer of 1 to 75, p is an integer of 0 to 40, q is an integer of 0 to 20, h is an integer of 1 to 75, j is an integer of 0 or 1, A is O or CH 2, i is an integer of 0 or 1, D is a C 2 -C 6 alkylene optionally substituted with one or more groups selected from hydroxyl, methoxy, methyl, and ethyl, L is either methyl or a side chain that is the same as an opposite side chain on the same silicon atom as L, Q is either methyl or a side chain that is the same as an opposite side chain on the same silicon atom as Q, where the sum of m, n, and h is at least 5,