A new imaging modality called prompt gamma-ray imaging (PGI) has been identified and investigated primarily by Monte Carlo simulation. Currently it is suggested for use on small animals. This new technique could greatly enhance and extend the present capabilities of PET and SPECT imaging from ingested radioisotopes to the imaging of selected non-radioactive elements, such as Gd, Cd, Hg, and B, and has the great potential to be used in Neutron Cancer Therapy to monitor neutron distribution and neutron-capture agent distribution. This approach consists of irradiating small animals in the thermal neutron beam of a nuclear reactor to produce prompt gamma rays from the elements in the sample by the radiative capture (n, γ) reaction. These prompt gamma rays are emitted in energies that are characteristic of each element and they are also produced in characteristic coincident chains. After measuring these prompt gamma rays by surrounding spectrometry array, the distribution of each element of interest in the sample is reconstructed from the mapping of each detected signature gamma ray by either electronic collimations or mechanical collimations. In addition, the transmitted neutrons from the beam can be simultaneously used for very sensitive anatomical imaging, which provides the registration for the elemental distributions obtained from PGI. The primary approach is to use Monte Carlo simulation methods either with the specific purpose code CEARCPG, developed at NC State University or with the general purpose codes GEANT4 or MCNP5, to predict results and investigate the feasibility of this new imaging idea. Benchmark experiments have been conducted to test the capability of the code to simulate prompt gamma rays, which are produced by following the nuclear structures of each irradiated isotope, and coincidence counting techniques, which are considered the most important improvement in neutron-related gamma-ray detection applications to reduce gamma background and improve system signal-to-noise ratios. With coincidence prompt gamma rays available, two major imaging techniques, electronic collimations and mechanic collimations, are implemented in the simulation to illustrate the feasibility of imaging elemental distribution by this new technique. The expectation maximization algorithm is employed in electronic collimation to reconstruct images. The common SPECT imaging algorithms are used in mechanical collimation to get an image. Several critical topics concerning practical applications have already been discussed, such as the radiation dose to the mouse and the detection efficiency of high-energy gamma rays.