This paper examines the relationship between the use of late Irish passage tombs and the development of the British and Irish Grooved Ware complex, including its Orcadian origins. The architectural forms of these passage tombs and their associated material culture, symbolic repertoires, and depositional practices in Ireland and Orkney indicate sustained connections between people in these places. It is argued that these interactions strongly influenced the development of Grooved Ware and its associated material culture in Orkney and beyond. The results of recent dating programmes are synthesised, and the character of depositional practices from 3300 to 2700 cal bc are reassessed to highlight continuities in traditions of practice and representation. Together, these indicate that the adoption of Grooved Ware in Ireland did not herald an era of large-scale social transformation and that the primary use of late passage tombs did not suddenly cease at the end of the 4th millennium bc. Instead they continued as foci for largely unchanged forms of ceremonial activity until 2450 cal bc as part of a series of ongoing social and cultural shifts in people’s material culture and practices. It is argued that the current periodisation of the late 4th–3rd millennia bc in Ireland unduly emphasises a disjuncture between the Irish Middle and Late Neolithic. An alternative view of social and cultural change that refocuses attention on social agency is proposed.