Child refugees are at high risk for problems with academic achievement and psychosocial well-being. We aimed to review the literature concerning these outcomes in primary school-aged child refugees. This study was a systematic review and included studies that reported on outcomes of interest in child refugees between 5 and 12 years of age. Our search generated 3,172 articles; we selected 313 for review and included 45. Child refugees are diverse in their educational performance, and early deficits often resolve with time spent in the host country. These children are at an increased risk of emotional and behavioral difficulties, and multiple factors are associated with these outcomes. Although educational difficulties of primary school-aged child refugees in high-income countries tend to resolve, the risks for psychosocial problems persist. This review provides a deepened understanding of the diverse educational and psychosocial experiences of these children and highlights the need for developing health and educational programs to support this population. In recent years, worldwide migration patterns have evolved. The number of forcibly displaced people globally reached 65,300,000 in 2015 (United Nations High Commissioner for Refugees [UNHCR], 2016a). In the same year, over 1,000,000 migrants, asylum seekers, and refugees arrived in Europe alone, nearly one-third of whom were children (UNHCR, 2016b). Persecution, armed conflict, generalized violence, climate change, man-made disasters, and human rights violations are the main reasons for forced displacement (UNHCR, 2016a). The health risks child refugees face are affected by their mode of travel; the distance and duration of their journey; and the health, social, and political situations in their countries of origin, transit, and destination (International Society for Social Pediatrics and Child Health [ISSOP], 2017). Children are vulnerable, and the risks they face have immediate and long-term effects on their health, safety, well-being, and ability to reach The authors have no known conflict of interest to disclose.