This study examined the relationship among projective drawings and mental health symptomatology to determine if projective drawings provide clinical utility in pet bereavement. Projective drawings, standardized questionnaires, and clinical interview results were collected from 33 adults grieving the loss of a pet. Drawings were coded into a psychosocial adjustment score based on formal artistic elements, specific indicators (e.g., placement of figure), subject portrayal, and use of space. Results showed that those with greater severity of grief and/or somatization displayed poorer psychosocial adjustment. In conjunction with behavioral observations and verbal reflections, projective drawings add clinical utility by introducing a nonverbal form of expression helpful in understanding the severity of grief and in opening up shared communication with those experiencing loss.