**Background** The behavioral hearing assessment is the gold standard clinical procedure in pediatric audiology. Obtaining reliable behavioral thresholds is critical for making a diagnosis, providing intervention, and managing hearing loss in children. However, it can be difficult to obtain behavioral information from children who have complex developmental conditions such as autism, intellectual disabilities, or physical impairments.5,6, 9 Moreover, pediatric audiologists see a large number of children in this population, as over 40% of children with hearing loss are diagnosed with a co-occurring disability.4 Although audiologists often utilize psychophysical measurements of hearing (i.e., otoacoustic emissions and auditory brainstem responses) as their primary method in assessing children with complex developmental conditions, behavioral thresholds can often be obtained if developmentally-appropriate procedures are employed. **Funding for this project** This work was supported by a Leadership Education in Neurodevelopmental Disabilities (LEND) Audiology Supplement under grant award number T73MC11044 from the Health Resources and Services Administration (HRSA) of the U.S. Department of Health and Human Services (HHS). The contents are those of the author(s) and do not necessarily represent the official views of, nor an endorsement, by HRSA, HHS or the U.S. Government. **Citation for this work** Malley, Ashley., Mood, Deborah., Graham, Madison., McTee., Haley., and Bonino, Angela. (2019). Obtaining behavioral thresholds from children with complex developmental abilities: Strategies for modifying conditioned play audiometry. Poster Presentation. EHDI 2019 National Meeting, Chicaco, Illinois. doi:10.17605/OSF.IO/59G8C.