This study related the non-word repetition (NWR) abilities of 4-year-old children at-risk of dyslexia and children with specific language impairment (SLI) to their reading abilities at age eight. The results show that the SLI group obtained the lowest NWR score and the at-risk group performed in-between the control and SLI group. Approximately half of the at-risk and SLI group showed reading difficulties. Literacy and NWR abilities were correlated for the at-risk group, but not for the SLI group. The findings point toward differences between the groups and suggest that dyslexia and SLI should not be treated as a similar disorder.