Self-reported difficulties in speech-in-noise (SiN) recognition are common among tinnitus patients. Whereas hearing impairment that usually co-occurs with tinnitus can explain such difficulties,recent studies suggest that tinnitus patients with normal hearing sensitivity still showdecreased SiN understanding, indicating that SiN difficulties cannot be solely attributed tochanges in hearing sensitivity. In fact, cognitive control, which refers to a variety of top-downprocesses that human beings use to complete their daily tasks, has been shown to be criticalfor SiN recognition, as well as the key to understand cognitive inefficiencies caused by tinnitus. In this article, we review studies investigating the association between tinnitus and cognitivecontrol using behavioral and brain imaging assessments, as well as those examining theeffect of tinnitus on SiN recognition. In addition, three factors that can affect cognitive controlin tinnitus patients, including hearing sensitivity, age, and severity of tinnitus, are discussedto elucidate the association among tinnitus, cognitive control, and SiN recognition. Although a possible central or cognitive involvement has always been postulated in the observedSiN impairments in tinnitus patients, there is as yet no direct evidence to underpin thisassumption, as few studies have addressed both SiN performance and cognitive control inone tinnitus cohort. Future studies should aim at incorporating SiN tests with various subjectiveand objective methods that evaluate cognitive performance to better understand therelationship between SiN difficulties and cognitive control in tinnitus patients.