The purpose of this study was to investigate and describe whether cognitive growth occurred among preservice physical educators in an elementary educational games class in which case discussions were used as a teaching method. Cognitive growth was defined as the ability to identify problems and generate possible solutions while drawing on concepts and personal experiences. Assessing whether change takes place and exploring connections between cognitive growth and the case discussions is an important first step toward learning about the potential effects of case discussions in physical education. Data were case discussion transcriptions, interviews, and preservice teachers’ written reflections on lesson episodes completed before and after their participation in three case discussions. Cases were complex narratives about elementary physical education teaching and learning. Data revealed an improved general propensity to identify problems, suggest solutions, and cite concepts in written reflections. Connections between cognitive growth and the case discussions are explored.