This is a follow-up to a study demonstrating that rough-and-tumble play was related to physical aggression in the preschool years. Fathers reported on the frequency of father-child rough-and-tumble play interactions, and the degree to which fathers were dominant in the play dyad was observed and coded from play interactions. In this follow-up study, school-aged children's physically aggressive behaviors and emotion regulation abilities were assessed with questionnaires 5 years later. Higher frequencies of father-child rough-and-tumble play in the preschool years were associated with more physical aggression and worse emotion regulation 5 years later for children whose fathers were less dominant, over and above the effects of physical aggression in the preschool years. Rough-and-tumble play was unrelated to these measures among children whose fathers were more dominant during play. This study shows that early rough-and-tumble play continues to be related to children's psychosocial adjustment over time, and that the effect remains moderated by the quality of the father-child relationship during play. Tables, figures, and references (Published Abstract)