The term "Nativity Drama" is used by Wellesz in his discussion of the troparion hymns in the Christmas liturgy of Byzantine Rite Churches, from Sophronius in the seventh century. Goldstein argues that the label "drama" is misleading, that the troparia are more akin to an oratorio than a play, and that the form is not a precursor of later more decidedly dramatic forms.
Saint Francis of Assisi performed Midnight Mass in Greccio on Christmas Eve 1223 in front of a life-size nativity scene (crib or creche) built by Giovanni Velita, with live animals. This is sometimes credited as the first nativity play. However, more formal Nativity plays have featured in Christian worship since medieval mystery plays. The twelfth to nineteenth pageants of the 48-cycle York Mystery Plays dealt with the Nativity story. In Germany, the Weihnachten services on Christmas Eve include a children's mass called Weihnachtsgeschichte, which features a Krippenspiel ("crib play").
In Latin America pastorelas ("shepherd's plays") are performed in many local communities. These were imported during Spanish colonization of the Americas but are no longer common in Spain. They recount the story of the shepherds travelling to worship the newborn Christ, augmenting the Biblical text with apocryphal events, indigenous beliefs, regional features, anachronisms, satire and buffoonery. Each community's play evolves into a distinctive tradition.
In Belgium, puppet theatres often put on variations on the Nativity play in the weeks before Christmas, with parents and their children in the audience. The play often depicts the Massacre of the Innocents which occurred after the birth of Jesus. Joan Gross traces this augmentation back to cryptic protests in the late nineteenth century against the abuse of native peoples by colonists in the King Leopold II's Congo Free State.
In schools 
Many Christian primary schools and Sunday Schools put on a Nativity play. Schoolchildren in costume act as the human and angel characters, and often as the animals and props. The infant Jesus is sometimes represented by a doll, but sometimes played by a real baby. Parents and sometimes the church community in general form the audience. The tradition of Nativity plays in British state primary schools is declining in favour of secular plays, because of the need to include pupils of other faiths. However, a survey in 2012 found that 20% of schools were planning a traditional Nativity play and a further 50% were intending to stage an updated version of the Christmas story, with new music and extra characters.
Modern writers to have written Nativity plays include Laurence Housman (Bethlehem, 1902; musical accompaniment by Joseph Moorat c.1919); Lucjan Rydel (Polish Bethlehem, 1904); Cicely Hamilton (The Child in Flanders: A Nativity Play, 1922); and Dorothy L. Sayers (He That Should Come, 1938).
Jean-Paul Sartre's first play was Bariona ou le fils du tonerre, a nativity play performed on Christmas Eve 1940 while a prisoner of war in a German stalag. Sartre saw Christ as part of the Jewish Resistance to the Roman Empire's occupation, mirroring the French Resistance of Nazi Germany's occupation.
See also 
- Passion play - a play about the Passion (death of Jesus) performed at Easter
- Nativity scene - a visual depiction of the Nativity, also known as a crib or creche
- Wellesz, Egon (1947). "The Nativity Drama of the Byzantine Church". Journal of Roman Studies (Society for the Promotion of Roman Studies) 37: 145–151. doi:10.2307/298465. JSTOR 298465.
- Goldstein, Leonard (2004). The Origin of Medieval Drama. Fairleigh Dickinson University Press. pp. 54–60. ISBN 0-8386-4004-4.
- Harris, Cathlyn A. (December 2001). "Los Pastores/Las Pastorelas: Public Theatre, Popular Devotion". Hemispheric Institute, NYU. Retrieved 2008-01-04.
- Gross, Joan (September 2003). "Symbolism, Popular Drama, and Politics and Art in Belgium, 1886-1910". In Benton Jay Komins. Comparative Literature and Culture: A WWWeb Journal (Purdue University Press) 5 (5.3 Comparative Cultural Studies and Popular Culture). ISSN 1481-4374. Retrieved 2008-02-18.
- The Daily Telegraph - 17 December 2012 - School nativity plays under threat
- Hunt, J. (March 1975). "Moorat". The Musical Times (Musical Times Publications Ltd.) 116 (1585): 228. doi:10.2307/959098. JSTOR 959098.
- Quinn, Bernard J. (Spring, 1972). "The Politics of Despair versus the Politics of Hope: A Look at Bariona, Sartre's First pièce engagée". The French Review (Special Issue, No. 4, Studies on the French Theater): 95–105.