Purpose of Review <p>To identify early features associated with Developmental Coordination Disorder (DCD) in children under six, which may inform early diagnosis and support.</p> Recent Findings <p>This narrative review included 57 articles and identified 63 child-related features and 29 environmental factors linked to early signs of DCD. Reported domains include possible early DCD features relating to motor milestones (n = 5), quality of movement (n = 9), ADL (n = 7), feeding (n = 2), play and friends (n = 19), physical activity and fitness (n = 3), spatial skills (n = 2), speech and language (n = 2), sensory sensitivities (n = 3), sleep and fatigue (n = 2), behaviour (n = 7), medical features (n = 2), early parental knowing (n = 4), impact on leisure and family activities (n = 7), parental adaptations (n = 4), family dynamics (n = 4), and daycare, preschool and other settings (n = 10).</p> Summary <p>Early features may appear both in the child and their environment. These can support early identification through thorough history taking. Further research is needed to clarify which features best predict later DCD diagnosis.</p>