Cocaine use during pregnancy has been associated with neurobehavioral and cognitive difficulties in infants and toddlers. The present study used an elicited imitation procedure to investigate memory for sex-typed event sequences in preschool children. Measures of immediate and delayed recall was assessed in three groups of children: drug-exposed, at-risk, and not-at-risk. Results indicated that (1) drug-exposed males showed no evidence of demasculinization and/or feminization, (2) drug-exposed children, in general, did not recall a fewer number of different target acts or fewer actions in the correct order than the at-risk or not-at-risk children, and (3) drug-exposed and at-risk children exhibited a greater number of repetition errors and novel errors than not-at-risk children. Findings suggest that certain effects of prenatal drug exposure are still evident in children of preschool age.