Twenty-three children who had completed treatment for acute lymphocytic leukaemia (ALL) and 23 age-and sex-matched non-neurologically impaired controls generated a creative narrative in response to a character figurine. Story grammar, intersentential cohesion and developmental level were examined. N o significant differences were found between the performance of the A I L group and the matched controls on the majority of the measures of narrative ability examined. The control subjects did, however, produce more episodes containing initiating events than the leukaemia group.