Paterson has written more than thirty books, celebrated for their emotional depth, memorable characters, and honest treatment of difficult themes such as loss, friendship, and family hardship. Her breakthrough novel, Bridge to Terabithia (1977), inspired by a real family tragedy, won the Newbery Medal in 1978. She earned a second Newbery Medal for Jacob Have I Loved (1980), a poignant coming-of-age story set on a Chesapeake Bay island.
Among her other notable works are The Great Gilly Hopkins (1978), The Master Puppeteer (1975), Come Sing, Jimmy Jo (1985), Lyddie (1991), and The Same Stuff as Stars (2002). Her numerous honors include two National Book Awards, the Hans Christian Andersen Medal, the Astrid Lindgren Memorial Award, and the Laura Ingalls Wilder Medal. From 2010 to 2011, she served as the National Ambassador for Young People's Literature, cementing her legacy as one of America's most beloved authors.