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Literacy preservice teacher (PST) preparation balances increasingly polarized sociopolitical and sociocultural tensions. This integrative review offers a current synthesis of literature for use in dismantling hegemonic literacy PST preparation to discover what the field knows about how to prepare literacy teachers in culturally multidimensional (CMLT) ways. The full-text review established 47 articles fitting for inclusion as they described CMLT literacy practices for PSTs from 2019-2022. Findings indicate a shift from a dominant focus of CMLT as solely multicultural text selection to more nuanced understandings of how diverse frames can be employed within PST preparation as an agent of change. Notably, the studies included specifically draw forward writing and activism as burgeoning tools for both PST training and social justice education.