In order to understand early word learning we need to better understand and quantify properties of the input that young children receive. We extended the human simulation paradigm (HSP) using egocentric videos taken from infant head-mounted cameras. The videos were further annotated with gaze information indicating in-the-moment visual attention from the infant. Our new HSP prompted participants for two types of responses, thus differentiating referential from semantic ambiguity in the learning input. Consistent with findings on visual attention in word learning, we find a strongly bimodal distribution over HSP accuracy. Even in this open-ended task, most videos only lead to a small handful of common responses. What's more, referential ambiguity was the key bottleneck to performance: participants can nearly always recover the exact word that was said if they identify the correct referent. Finally, analysis shows that adult learners relied on particular, multimodal behavioral cues to infer those target referents.