The purpose of the present study was to examine the role of timeouts in competitive elite table tennis in relation to psychological momentum (PM). To that end, archival data from elite top-international matches (N= 48) was firstly examined to gather information on when timeouts are most taken, and whether these have any objective influence on subsequent performance (set outcome and ultimately match outcome). Secondly, similar archival data for Swedish League matches (N= 36) was examined and interviews with elite coaches from the highest Swedish league (N= 6) at these given matches were carried out to gain further knowledge and understanding on the role and use of timeouts in competitive elite table tennis. Findings showed that timeouts were mostly called following a sequence of three consecutive lost points; that is, coaches used timeouts to break negative PM. However, findings also showed that these given timeouts had no objective impact on neither set nor match outcomes; that is, sets and matches were ultimately lost. Future research examining the subjective coach-player experience revolving around timeouts is needed to comprehend potential ‘secondary’ purposes when calling timeouts and, subsequently, understand timeouts role in table tennis fully.