A reversible necktie according to one embodiment includes first and second fabric pieces that have matching necktie shapes. Each of the fabric pieces has a finished face side, a wide end, longitudinal edges and a narrow end. The fabric pieces are superimposed in mating relationship with the finished sides facing outward, wherein each of the first and second fabric pieces is formed of a first section that has a first appearance and a second section that has a second appearance that is visually different from the first appearance. The first and second sections are joined together along a seam. The first section of first fabric piece overlies the second section of the second fabric piece and the second section of the first fabric piece overlies the first section of the first fabric piece.