BackgroundSocial cognition is increasingly recognized as part of the non-motor phenotype of essential tremor (ET). Available ET evidence suggests selective alterations in some socio-cognitive domains, whereas findings on self-reported empathy and alexithymia remain limited and inconsistent.ObjectivesThis cross-sectional study aimed to evaluate empathy and alexithymia in patients with ET compared with healthy controls (HC), and to explore their associations with global cognition and with each oth