Although relationships among non-word repetition, real-word repetition and grammatical ability have been documented, it is important to study whether the specific nature of these relationships is tied to the characteristics of a given language. The aim of this study is to explore the potential cross-linguistic differences (Italian and English) in the relationship among non-word repetition, real-word repetition, and grammatical ability in three-and four-year-old children with typical language development. To reach this goal, two repetition tasks (one real-word list and one non-word list for each language) were used. In Italian the grammatical categories were the third person plural inflection and the direct-object clitic pronouns, while in English they were the third person singular present tense inflection and the past tense in regular and irregular forms. A cross-linguistic comparison showed that in both Italian and English, non-word repetition was a significant predictor of grammatical ability. However, performance on real-word repetition explained children's grammatical ability in Italian but not in English. Abilities underlying non-word repetition performance (e.g., the processing and/or storage of phonological material) play an important role in the development of children's grammatical abilities in both languages. Lexical ability (indexed by real-word repetition) showed a close relationship to grammatical ability in Italian but not in English. Implications of the findings are discussed in terms of cross-linguistic differences, genetic research, clinical intervention and methodological issues.