This study examined how children and adolescents with Williams syndrome (WS; ages 8 years, 0 months [8;0]-14;5) used referential devices (determiners and pronouns), tense, and connectives to create cohesion in oral narratives based on a storybook compared to typically developing mentally and chronologically age-matched children. WS children used cohesive devices in narratives similarly to mentally matched children, but their performance differed from the chronologically matched children only for referential cohesion. WS children's grammatical error rates were similar to both the mentally and chronologically matched children. Implications for the characterization of the language profile of individuals with WS and considerations for the focus of future narrative research are discussed.