This article reviews the literature on alcohol-related sexual assault among college students, highlighting the prevalence of such incidents and the role of alcohol in increasing the likelihood of acquaintance sexual assault. Research indicates that at least half of college sexual assaults involve alcohol consumption by either the perpetrator or the victim. Alcohol's psychological, cognitive, and motor effects contribute to sexual assault, often through multiple pathways. The article discusses the complex interplay between alcohol consumption, gender role norms, and misperceptions of sexual intent, which can lead to sexual assault. It also explores the impact of peer environments that encourage heavy drinking and the use of alcohol as a justification for inappropriate behavior. The article concludes with recommendations for prevention programs and policy initiatives, emphasizing the need for clear and consistent messages about the consequences of alcohol misuse and the importance of addressing alcohol's role in sexual assault.This article reviews the literature on alcohol-related sexual assault among college students, highlighting the prevalence of such incidents and the role of alcohol in increasing the likelihood of acquaintance sexual assault. Research indicates that at least half of college sexual assaults involve alcohol consumption by either the perpetrator or the victim. Alcohol's psychological, cognitive, and motor effects contribute to sexual assault, often through multiple pathways. The article discusses the complex interplay between alcohol consumption, gender role norms, and misperceptions of sexual intent, which can lead to sexual assault. It also explores the impact of peer environments that encourage heavy drinking and the use of alcohol as a justification for inappropriate behavior. The article concludes with recommendations for prevention programs and policy initiatives, emphasizing the need for clear and consistent messages about the consequences of alcohol misuse and the importance of addressing alcohol's role in sexual assault.