The ability to identify factors predictive of recidivism among individuals who have offended is integral to properly targeting supervision and treatment focus. Instruments such as the Level of Service Inventory–Revised (LSI-R) show promise with general justice-involved females, but no study to our knowledge has assessed it with women who have sexually offended. The purpose of this study is to examine the utility of the LSI-R in a sample of 243 women from the State of Texas who have sexually offended. Results indicate that the total score was significantly related to criminal recidivism (Harrell’s C = .67) and any recidivism (Harrell’s C = .65). Analyses of the subscales indicated that criminal history and alcohol/drug subscales were significantly related to all forms of recidivism, while the education/employment and financial scales were significantly related to criminal recidivism and any recidivism. These results provide insight into risk assessment and treatment for women who have sexually offended.