A color change compression fabric and/or garment can include an elastic material having one color in an unstretched condition that changes to a different color in a stretched condition. The different, stretched color corresponds to a predetermined amount of stretch applied to the material, which in turn can correspond to a predetermined amount of compressive pressure. The compression fabric may include a covering yarn having a first color and wrapped a number of turns about an elastic yarn having a second color different than the first color. When the fabric is stretched, the turns of the covering yarn move apart from each other to expose the second color of the elastic yarn underneath. A particular amount of fabric stretch can provide a unique color profile of a combination of the first and second colors, and the unique color profile preferably corresponds to a certain amount of compressive pressure.