Abstract: The combination pacifier and hand cover provides a mitten or similar garment having an attached pacifier, allowing an infant to wear the hand cover and suck on the nipple portion of the attached pacifier. The hand cover may be a sock, a mitten, a glove or any other suitable garment for covering the hand or foot of an infant. The hand cover includes opposed open and closed ends, with the hand cover defining an open interior region therein, which is dimensioned and configured to receive the hand of the infant. The closed end has an aperture formed therethrough. The pacifier includes a nipple portion and a grasping portion. The grasping portion is positioned within the open interior region of the hand cover, adjacent the closed end thereof, and the nipple portion projects through the aperture and extends outwardly from the hand cover.