This study systematically reviewed the sexual violence literature among autistic individuals by identifying prevalence rates, assessment approaches, and outcomes of sexual violence exposure, as well as risk and protective factors. Overall, 22 articles met inclusion criteria. Nine studies reported elevated rates of sexual violence in autistic samples as compared to non-autistic peers, particularly with regard to adult victimization. Evidence emerged for increased risk among autistic girls and women. Results suggest autistic individuals experience similar trauma outcomes to non-autistic peers, though risk factors specific to autistic groups emerged. Further research is needed to capture more diverse samples among autistic populations and to assess for trauma outcomes and interventions to address sexual violence.