Multistage tests are those in which sets of items are administered adaptively and are scored as a unit. These tests have all of the advantages of adaptive testing, with more efficient and precise measurement across the proficiency scale as well as time savings, without many of the disadvantages of an item-level adaptive test. As a seemingly balanced compromise between linear paper-and-pencil and item-level adaptive tests, development and use of multistage tests is increasing. This module describes multistage tests, including two-stage and testlet-based tests, and discusses the relative advantages and disadvantages of multistage testing as well as considerations and steps in creating such tests.