Purpose: A systematic review and synthesis was performed on published articles and dissertations produced between 1970 and 2013 that focused on selected pragmatic language behaviors of African American children and adolescents. Methods: Electronic databases and hand searches of articles located in the databases were used to identify the published articles and dissertations. Each article or dissertation was reviewed by at least 2 of the authors to determine whether it met the criteria for inclusion in this study. Selected observations of the documents that met criteria for inclusion were recorded on the "Primary Research Appraisal Tool" (PRAT; DeJarnette, Hyter, & Rivers, 2012), a data gathering and analysis framework developed by the authors specifically for this systematic synthesis. Results: The literature search resulted in 92 research articles and dissertations, 37 of which were eliminated because they did not meet all of the inclusion criteria. The documents that met our inclusion criteria focused primarily on the structure and/or content of narrative discourse rather than speech acts, other forms of discourse (e.g., conversation, expository), and presupposition/perspective taking skills. Six major themes identified in the major findings are used to summarize studies reviewed for this systematic synthesis. Conclusions: We (a) explain the current state of knowledge about African American pragmatic language behaviors, (b) explain major findings and implications of the extant literature in this topical area and how it may inform speech-language pathology practice, and (c) identify directions for future research on pragmatic language of African American children and adolescents.