Eating behaviors and food choices established during childhood affect health in later life. Thus, the aim of this study was to assess picky eating behavior and food preferences among preschool children. Design: A descriptive research design was utilized. The study included 320 preschool children randomly selected from four nursery schools selected by using a multistage random sampling from nursery schools of Zagazig city, Egypt. Tools for data collection: A structured questionnaire consisted of three parts; Socio-demographic data, Food Preference Questionnaire for Children (FPQC) and Picky Eating Scale. The results revealed that all of the studied preschool children preferred snacks food category followed by starchy food (99.4 %) and 57.5 % of the studied preschool children were picky eaters. Also, the results shows that there was a statistically significant association between children's picky eating behavior and their food preference categories. Conclusion: A relatively moderate percentage of the preschool children were picky eaters and it is a worrying fact that all the children consume sweets or snacks on a daily basis on the other hand, the least preferred food category was vegetables. Recommendations: Conduct further longitudinal studies to track at-risk picky eater children for developing more tailored nutrition interventions that support their growth and development.