The aim of this meta-analysis was to analyze the narrative performance of children and adolescents with high-functioning Autism Spectrum Disorders (ASD) in terms of microstructure, macrostructure and internal state language.A systematic literature search yielded 24 studies that met the predetermined inclusion criteria. Effect sizes for each study were calculated for eight variables and analyzed using a random effects model. Intellectual ability, age and type of narrative were considered as potential moderators.Results revealed that the children with ASD performed significantly worse than their peers on all the variables considered.Findings are discussed taking into account the main explanatory psychological autism theories. Implications for intervention and orientations for future research are suggested.