We study kagome lattice antiferromagnets where the effects of easy axis single-ion anisotropy (D) dominates over the Heisenberg exchange J. For S ≥ 3/2, virtual quantum fluctuations help lift the extensive classical degeneracy. We demonstrate the presence of a one-third magnetization plateau for a broad range of magnetic fields J 3 /D 2 B JS along the easy axis. The fully equilibriated system at low temperature on this plateau develops an unusual nematic order that breaks sublattice rotation symmetry but not translation symmetry-however, extremely slow dynamics associated with this ordering is expected to lead to glassy freezing of the system on intermediate time-scales. Geometrically frustrated magnets, which are characterized by a large number of symmetry unrelated classical ground states, display a wealth of new phenomena. In contrast to their unfrustrated counterparts, in which the low temperature ordering is largely determined by classical energetics even for small spin length S, quantum effects can play a crucial role in frustrated magnets, precisely because the classical energetics fails to pick a unique state. Of particular interest are those systems in which a broad cooperative paramagnetic regime [1] at intermediate temperatures gives way at low temperature to a variety of novel ordered and liquid phases [2] arising from the quantum fluctuations of spins. Even when magnetic order is selected, the resulting patterns are often complex, and are promising candidates for realizing multiferroic properties [3].The Kagome lattice composed of corner sharing triangles is one of the the most frustrated lattice arrangements possible, and one that occurs commonly in nature. Ground states of the antiferromagnetic Heisenberg model on this lattice typically involve coplanar arrangement of spins, and are extensively degenerate in the limit of classical spins [4]. Despite much work on the role of quantum fluctuations in lifting this degeneracy, several fundamental questions regarding the ground state of low spin Kagome antiferromagnets (eg. S = 1/2, 1, 3/2 . . . ) remain to be decisively settled [2].In some cases however, collinear spin arrangements are preferred, for example in the presence of strong single-ion anisotropy that leads to an easy axis. This occurs in the recently studied Nd 3 Ga 5 SiO 14 (NGS) compound [5,6], where Nd 3+ (total angular momentum J = 9/2) ions form a kagome antiferromagnet in which the common c axis is the easy axis at low temperature (below 33K). The classical ground states of such collinear spins are also extensively degenerate. In contrast to the isotropic case, the effect of quantum fluctuations in selecting the low temperature state can be studied in a much more controlled fashion, and this is the focus of our work here.Our results are readily stated. First, the selection mechanism depends strongly on the spin length S. Below a critical spin length S c = 3/2, quantum transitions between different classical ground states dominate the degeneracy splitting. This 'kinetic energy' dominat...