We present Prototypical Pair Network (ProtoPairNet), a novel interpretable architecture that combines deep learning with case-based reasoning to predict continuous targets. While prototype-based models have primarily addressed image classification with discrete outputs, extending these methods to continuous targets, such as regression, poses significant challenges. Existing architectures which rely heavily on one-to-one comparison with prototypes lack the directional information necessary for continuous predictions. Our method redefines the role of prototypes in such tasks by incorporating prototypical pairs into the reasoning process. Predictions are derived based on the input's relative dissimilarities to these pairs, leveraging an intuitive geometric interpretation. Our method further reduces the complexity of the reasoning process by relying on the single most relevant pair of prototypes, rather than all prototypes in the model as was done in prior works. Our model is versatile enough to be used in both vision-based regression and continuous control in reinforcement learning. Our experiments demonstrate that ProtoPairNet achieves performance on par with its black-box counterparts across these tasks. Comprehensive analyses confirm the meaningfulness of prototypical pairs and the faithfulness of our model’s interpretations, and extensive user studies highlight our model's improved interpretability over existing methods.