Make believe, also known as pretend play or imaginative play, is a loosely structured form of play that generally includes role-play, object substitution and nonliteral behavior.[1] What separates play from other daily activities is its fun and creative aspect rather than being an action performed for the sake of survival or necessity.[2] Children engage in make believe for a number of reasons. It provides the child with a safe setting to express fears and desires.[3] When children participate in pretend play, they are integrating and strengthening previously acquired knowledge.[1] Children who have better pretense and fantasy abilities also show better social competence, cognitive capabilities, and an ability to take the perspective of others.[2] In order for the activity to be referred to as pretend play, the individual must be intentionally diverting from reality. The individual must be aware of the contrast between the real situation and the make believe situation.[2] If the child believes that the make believe situation is reality, then they are misinterpreting the situation rather than pretending. Pretend may or may not include action, depending on whether the child chooses to project their imagination onto reality or not.[4]