This systematic review and meta-analysis examines the health and psychosocial consequences of bullying victimization in children and adolescents. The study included 165 articles that met the inclusion criteria, focusing on longitudinal and cross-sectional studies. The results indicate a strong association between bullying victimization and various adverse health and psychosocial problems, particularly mental health issues such as depression, anxiety, poor general health, and suicidal ideation and behaviors. Probable causal associations were also found between bullying victimization and tobacco and illicit drug use. The evidence suggests that bullying victimization is a significant risk factor for these outcomes, highlighting the need for effective interventions in schools to address the high prevalence of bullying behaviors among children and adolescents.This systematic review and meta-analysis examines the health and psychosocial consequences of bullying victimization in children and adolescents. The study included 165 articles that met the inclusion criteria, focusing on longitudinal and cross-sectional studies. The results indicate a strong association between bullying victimization and various adverse health and psychosocial problems, particularly mental health issues such as depression, anxiety, poor general health, and suicidal ideation and behaviors. Probable causal associations were also found between bullying victimization and tobacco and illicit drug use. The evidence suggests that bullying victimization is a significant risk factor for these outcomes, highlighting the need for effective interventions in schools to address the high prevalence of bullying behaviors among children and adolescents.