Two distinct deficits in research on male gender role conflict are addressed: (a) lack of psychometric information and (b) lack of research involving clinical samples. First, using 1,043 men across three samples, the psychometric properties of the Gender Role Conflict Scale (GRCS) were examined through confirmatory factor analyses, internal consistency estimation, and construct validation. Next, using 130 male university counseling center clients across two samples, the relation between gender role conflict and psychological distress was examined. The GRCS demonstrated good internal consistency and was best modeled as 4 intercorrelated factors, as originally proposed by J. M. O'Neil, B. Helms, R. Gable, L. David, and L. Wrightsman (1986). Construct validity was supported through correlations with attitudes about masculinity, fear of intimacy, and social desirability in expected directions. However, reservations about the Conflicts Between Work and Family Relations subscale are noted. Male gender role conflict was significantly related to psychological distress, with the Restrictive Emotionality subscale being the best predictor of distress level. Implications for mental health practice and future research are discussed