*=shared first authorship
Children across the world acquire their first language(s) naturally, regardless of typology or modality (e.g. sign or spoken). Various attempts have been made to explain the puzzle of language acquisition using several approaches, trying to understand to what extent it can be explained by what children bring to language-learning situations as well as what they learn from the input and the interactive context. However, most of these approaches consider only speech development, thus ignoring the inherently multimodal nature of human language. As a multimodal view of language is becoming more widely adopted for the study of adult language, a multimodal approach to language acquisition is inevitable. Not only do children have the capacity to learn spoken and sign language equally easily, but spoken language acquisition consists of learning to coordinate linguistic expressions in both modalities, that is, in both speech and gesture. To provide a step forward in this direction, this article aims to synthesize findings from research studies that take a multimodal perspective on language acquisition in different sign and spoken languages, including the development of speech and accompanying gestures. Our review shows that while some aspects of language acquisition seem to be modality-independent, others might differ according to the affordances of each modality when used separately as well as together (either in sign, speech, and/or gesture). We argue that these findings need to be integrated into our understanding of language acquisition. We also identify which areas need future research for both spoken and sign language acquisition, taking into account not only multimodal but also cross-linguistic variation.