This autism fact sheet focuses on autism and perception of reality, explaining how differences in cognition can affect imagination, counterfactual thinking, and understanding fiction versus real life. It explores how online gaming and virtual environments may increase risks such as social isolation, low mood, cyberbullying, and unsafe behaviours. The resource highlights clear signs that an autistic person may be struggling to differentiate fantasy and reality and offers practical, supportive strategies for parents, carers, and professionals. Emphasis is placed on autism awareness, mental health, online safety, compassionate communication, and promoting real world connections while respecting the individual’s lived experience.