Noting that there is a growing body of evidence supporting the many connections between cognitive competence and high-quality pretend play, this article defines the cluster of concepts related to pretend play and cognition, and briefly synthesizes the latest research on the role of such play in children's cognitive, social, and academic development. The article notes that there is growing evidence to suggest that high-quality pretend play is an important facilitator of perspective taking and later abstract thought, that it may facilitate higher-level cognition, and that there are clear links between pretend play and social and linguistic competence. The article also notes that there is still a great need for research on the relationship between high-quality pretend play and development of specific academic skills. The article concludes with a discussion of the challenges and potential policy directions suggested by the research findings. (Contains 44 references.) (Author/HTH)