Friendship quality is the most important thing to evaluate when studying friendship among children, including children with special needs. The goal of this study was to examine the relationship between communication skills and friendship quality among children with special needs in inclusive primary school. This study also examined the difference between friendship qualities for children with special needs in inclusive primary school by gender. This study measured communication skills using the communication dimension of the Social Skills Improvement System (SSIS) (Gresham & Elliott, 2008); meanwhile the Friendship Quality Questionnaire (FQQ) (Parker & Asher, 1993) was used to measure friendship quality. Participants of this study were children with special needs aged between 7 and 12 years. Additional criteria included that they had to have only one type of disability; that their level of disability was mild; and that they had the ability to read (N = 108). This study was a correlational study that was conducted with a quantitative approach. The results of this study show that a significant relationship exists between communication skills and friendship quality among children with special needs in inclusive primary school (r = 0.613, p < 0.01). The study results also show a significant difference in friendship quality of children with special needs in inclusive primary school by gender. © 2020 by Nova Science Publishers, Inc. All rights reserved.