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The present study using a longitudinal method, a total of 139 5- to 6-year-old preschoolers were assessed on their repeating patterning, growing patterning, and numeracy ability. The findings revealed significant correlations between specific patterning skills and numeracy ability. Cross-lagged analyses demonstrated lag-2 autoregressive pathways between RP abstraction and numeracy ability. Moreover, preschoolers' growing patterning at Time 1 positively predicted numeracy ability at Time 2, and vice versa. Particularly, the Add 1&2 dimension of growing patterning and numeracy ability significantly predicted each other. Results highlight the complex mutual relations between preschoolers’ patterning skills and numeracy ability, which has practical implications for promoting math development in early childhood.