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20 Month Old: Running, Talking and Playing Pretend

Karina Sánchez Mercado
Medically reviewed by

Quick Facts

عمر20 months
Length~76–90 cm (WHO range, ~20 months)
Weight~8.4–14.2 kg (WHO range, ~20 months)
Daily Sleep~11–14 hours (usually 1 nap + nights)
حليبWhole cow’s milk or toddler formula, up to ~500 mL/day
Iron~7 mg a day (1–3 years)

Length and weight are the WHO 3rd–97th percentile range (both sexes) from the WHO Growth Charts for Canada. Your provider tracks your toddler’s own growth on these charts.

Key Takeaways

Make-believe begins. A 20 month old often starts simple pretend play — feeding a doll, "cooking" — building toward the CPS 24-month milestone of make-believe.
More words, some pairs. Vocabulary grows fast now, with the first two-word combos appearing for many toddlers.
Playing near, not with. Playing alongside other children is normal and healthy at this age. Don’t force sharing — taking turns comes later, with time and practice.

Your Toddler at 20 Months Old

A 20 month old is often running, climbing, combining a couple of words, and beginning make-believe play, building toward the Canadian Paediatric Society’s 24-month milestones. Toddlers eat a variety of family foods, need about 7 mg of iron a day, and take whole cow’s milk up to about 500 mL a day, from a cup; some families choose a toddler formula instead, within the same limit. Total sleep is around 11–14 hours, usually on one nap. Brushing twice a day gets harder around now, and pretend play is the way in. Let your toddler brush a doll’s or a teddy’s teeth first, then take a turn on theirs.

Your 20 month old is imaginative and busy — feeding dolls, "cooking" dinner, running laps, and narrating it all in a growing mix of words. Play is becoming a story, and your toddler is the director.

This guide covers what’s normal this month: the blossoming pretend play and language, toddler feeding, sleep and routines, and getting a toothbrush anywhere near a toddler who has opinions.

20 Month Old Development: Milestones & Growth

At 20 months, most toddlers have the 18-month skills the Canadian Paediatric Society describes and are building steadily toward the next set at 24 months.

Gross Motor

A 20 month old walks confidently, is beginning to run, and can climb into and down from chairs, building toward the 24-month skills the Canadian Paediatric Society lists (running, kicking or throwing a ball, walking up and down stairs with help). Give safe space and active play.

Fine Motor

A 20 month old stacks several blocks, scribbles, uses a spoon well, and may start simple shape-matching, building toward a 4-block tower and simple puzzles by 24 months, per the Canadian Paediatric Society. Offer blocks, crayons, chunky puzzles and pretend-play props.

Social & Language

A 20 month old has a growing vocabulary, may put two words together, plays alongside other children, copies adults and other kids, and begins make-believe play, per the Canadian Paediatric Society’s 24-month milestones. Join the pretend play, name things, and expand on your toddler’s words.

Your Life This Month: The Parent Experience

Pretend play is a joy to watch and a great way to connect — cook a "meal" together, put teddy to bed, run a toy shop. Following your toddler’s imaginative lead builds language, empathy and problem-solving.

At playdates, expect your toddler to play near other children rather than truly with them — parallel play is normal and healthy at this age. Sharing is still a work in progress; gentle modelling and turn-taking games help over time.

Parenting a toddler is a lot. If you’re feeling low, anxious or worn down, your doctor or public health nurse can help — please reach out.

What to Do This Month

DEVELOPMENT & PLAY

  • Join simple pretend play — dolls, toy kitchens, cars — and follow your toddler’s lead.
  • Offer blocks, crayons and chunky puzzles, and read together daily.
  • Model and expand two-word phrases, and set up chances to play near other children.

FEEDING

  • Offer a variety of family foods in safe textures; keep iron-rich foods coming toward the ~7 mg daily need for 1–3 years.
  • Keep milk (whole cow’s milk or toddler formula) to about 500 mL a day, in a cup.
  • Offer water with meals and snacks; continue vitamin D for breastfed and partly breastfed toddlers.

SAFETY

  • Supervise near stairs, streets and playground equipment now that your toddler runs and climbs. On climbing equipment that means staying within arm’s reach, not watching from a bench — a toddler this age can get up something they can’t get down from, and won’t see the edge coming.
  • Keep hazards and choking-risk foods out of reach, and keep furniture anchored.

Feeding Your 20 Month Old

At 20 months, your toddler eats a range of family foods and drinks from a cup. Appetites swing day to day — offer healthy options at regular meals and snacks and let your toddler decide how much. Iron still matters: toddlers 1 to 3 years need about 7 mg a day, per the Canadian Paediatric Society, so keep iron-rich foods in the rotation, paired with vitamin C.

Keep milk — whole cow’s milk (3.25%) or a toddler formula — to no more than about 500 mL a day, the Canadian Paediatric Society advises, so it doesn’t crowd out food or lead to iron-deficiency anemia. Continue a daily 400 IU vitamin D supplement for breastfed and partly breastfed children.

A note on formula this month. Whole cow’s milk or a toddler formula can be your toddler’s milk. If you choose formula, MOF’s organic HiPP Dutch Stage 3 is a toddler formula for 12 months and up, iron-fortified to provide iron, DHA and vitamin D alongside meals. Keep total milk to about 500 mL a day so it doesn’t crowd out iron-rich foods. Go with what works for your family.

Pure formula. Every stage.

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Sleep at 20 Months: What’s Normal & How to Help

A 20 month old usually sleeps around 11 to 14 hours over a 24-hour period, per the Canadian Paediatric Society, typically on one afternoon nap. Vivid imagination can bring the first bedtime fears or resistance for some toddlers — reassurance and routine help. If your toddler is scared of something in the room, reassure them they’re safe rather than going hunting for it. Searching under the bed answers the wrong question: it suggests there was something worth looking for.

Keep the bedtime routine steady, wind down about half an hour before bed with stories or quiet play, keep the room dim and cozy, and be gentle but firm if your toddler protests. Avoid late-afternoon naps, and offer a comfort item, which is often important at this age.

Safe sleep reminder: place your child on a firm, flat sleep surface, and follow current local safe-sleep guidance for their age.

When to Contact Your Doctor or Public Health Nurse

Contact your doctor or public health nurse if you notice:

  • A high fever or your child seeming very unwell.
  • Your child is eating very poorly, drinking far less than usual, or isn’t growing as expected.
  • Signs of possible iron deficiency the CPS describes — pale skin, poor appetite, low energy or slow weight gain (too much milk is a common cause).
  • Your child isn’t walking, isn’t using any words, or seems behind in more than one area — the Canadian Paediatric Society advises speaking with your doctor.
  • Your child has lost a skill they previously had.
  • Any concern about your child’s development, feeding or your own wellbeing.

أسئلة مكررة

What should a 20 month old be doing?

A 20 month old usually walks and begins to run, climbs, stacks blocks, uses a spoon, has a growing vocabulary with some two-word combos, and begins simple pretend play, building toward the Canadian Paediatric Society’s 24-month milestones. Every child develops at their own pace; raise concerns, especially in more than one area, with your doctor.

Is it normal for my toddler to play near other kids but not with them?

Yes. Playing alongside other children — parallel play — is normal and healthy at this age; the Canadian Paediatric Society lists it among the social milestones around 24 months. True cooperative play and sharing develop later. Set up chances to play near other children, model turn-taking gently, and don’t expect sharing to come easily yet.

How can I encourage pretend play?

Offer simple props — a doll, toy dishes, cars, a play phone — and join in, following your toddler’s lead. Make-believe play is a skill the Canadian Paediatric Society lists among the 24-month milestones, and it builds language, imagination and social understanding. Narrate as you play and expand on your toddler’s ideas — and lean on doing words as much as naming words. Most toddlers pick up plenty of nouns; go, up, open, more, help and stop are the ones that let them tell you what they want.

How much should a 20 month old eat and drink?

Offer a variety of family foods at regular meals and snacks, with iron-rich foods still important (about 7 mg iron a day for 1–3 years), per the Canadian Paediatric Society. Keep milk to about 500 mL a day, in a cup, and offer water with meals. Let your toddler decide how much to eat — appetites swing normally. Avoid choking-risk foods and added salt and sugar.

How much sleep does a 20 month old need?

A 20 month old usually sleeps around 11 to 14 hours over a 24-hour period, per the Canadian Paediatric Society, typically on one afternoon nap. A consistent bedtime routine, a calm wind-down, and avoiding late naps all help. A comfort item like a blanket or stuffed animal is often welcome, especially if bedtime fears appear.

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Sources & References

This content is for information and does not replace personal medical advice from your doctor or public health nurse.