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Although the association between theory of mind (ToM) and aggression has been theorized, empirical findings have not revealed a clear link between these constructs. In the current meta-analytic review, we integrated findings from 83 studies (141 effect sizes) involving 41,650 participants from 18 countries to elucidate the association between ToM and aggression in typically developing children, adolescents, and adults. We found a significant negative association between ToM and aggression overall (r = −0.15). Moreover, each type and function of aggression were negatively associated with Theory of Mind (ToM). Bullying—a distinct form of aggression—was not associated with ToM. The strength of the association between overall aggression and ToM varied as a function of methodological variables: First, studies that used self-report questionnaires to measure ToM and aggression yielded the strongest effect sizes, compared to those that used task-based assessments or questionnaires completed by others (parents, teachers, peers). Second, there was a difference in the ToM measurement with the measures examining ToM with non-false belief understanding tasks yielding a stronger mean effect than those that focused exclusively on false-belief understanding. Third, the magnitude of the negative association was found to increase with participants' age, though significant negative associations between ToM and aggression held across the lifespan. These results point to the critical link between ToM and aggressive tendencies and suggest the value in implementing interventions to improve mental state understanding across the age range to foster positive social interactions. • We integrated findings from 83 studies (141 effect sizes) to elucidate the association between ToM and aggression in typically developing children, adolescents, and adults. • We found a significant negative association between ToM and aggression overall. • The association was significant and negative across all age groups. • The association was negative and significant for different forms and functions of aggression. • There were significant moderators of the association such as measurement of aggression and ToM. [ABSTRACT FROM AUTHOR]