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This review aims to 1) be the first systematic review and meta-analysis of the literature examining the physiology and assessment of goaltenders, and 2) present a physiological profile of ice-hockey goaltenders. It will 1) highlight physiological differences between goaltenders and players at other positions, 2) determine strengths and weaknesses of ice hockey goaltenders, and 3) offer possible guidelines for strength and conditioning coaches. Six electronic databases were systematically searched in October 2019 using the PRISMA model. A total of twelve scientific articles published in peer-reviewed journals were included. Professional male (PM) goaltenders had the following profile for age (A) 26.8 ± 2.5 years, body weight (BW) 85.64 ± 3.79 kg, height (H) 184.38 ± 2.79 cm, body fat % (BF%) 11.9 ± 2.22, VO₂max 49.9 ± 4.45 ml/kg/min, anaerobic power (AP) 12.78 ± 1.63 W/kg, and combined hand grip strength (GS) 120.7 ± 15 kg. Amateur male (AM) goaltenders presented the following: A: 18.2 ± 0.75, BW: 83.85 ± 4.51, H: 184.96 ± 2.06, BF%: 10.51 ± 1.61, VO₂max: 55.73 ± 4.57, AP: 10.9 ± 1.2 and GS: 109.08 ± 14.06. Amateur female (AF) goaltenders presented the following: A: 21.04 ± 1.84, BW: 63.4 ± 5.14, H: 164.86 ± 5.73, BF%: 22.12 ± 2.27 and VO₂max: 42.84 ± 3.59. Overall, PM goaltenders are heavier, have a higher BF%, and exhibit greater GS and abdominal muscular endurance than AM, while AM goaltenders are heavier, taller, leaner, and can generate greater lower-body muscular power than AF goaltenders. In the current literature, there were a small number of studies on women players and a lack of distinction between player position in reported results. Specific physiological assessments during NHL Combines should be developed for goaltenders in accordance with their specific positional demands.