Metabolic syndrome is a cluster of health problem that lead to health condition. An individual with metabolic syndrome may higher risk of cardiovascular or neurological disorder. The aim of this study was review and provides the prevalence of metabolic syndrome in Saudi Arabia. Literature searches were performed on PubMed, Google scholar, and Web of Science Core Collection for English language articles for population-based of national studies. The following search terms were used during search; “prevalence of metabolic syndrome in Saudi Arabia,” “metabolic syndrome in Saudi Arabia.” Nineteen studies were selected for final review out of 50 studies. The weighted pooled prevalence of metabolic syndrome was 30.0% with high heterogeneity (I2=99.22%; Cochran Q-test p<0.001). The result showed comparatively high and rising rate of metabolic syndrome in Saudi Arabia. Preventative strategy should be considered to reduce the risk of morbidity or mortality related to metabolic syndrome.