The effects of organizational justice on workers' health have been investigated in several areas of work. However, the systematization of available information on the effects related to car-diovascular diseases (CVD) and diabetes is scar-ce. This article aims to systematically review the association between organizational justice and CVD and metabolic disease in adult workers. The search strategy included the terms organizational justice, coronary heart disease, cerebrovascular disease, systemic arterial hypertension, diabetes mellitus and CVD. This study investigated the following databases: MEDLINE, EMBASE, and LILACS. The quality of the studies was assessed using the instrument developed by the National Institute of Health. Results: This study identified 1,959 titles. After evaluation, eight studies were selected. Individuals with a high perception of or-ganizational justice showed a lower risk of CVD and metabolic disease, whereas low organizatio-nal justice presented repercussions for the cardio-vascular and metabolic health of workers. The de-velopment of strategies to promote organizational justice must be prioritized and thus mitigate its impacts on workers and institutions.