Fermented tropical leaf meals (FTLM) are currently added to chicken feed to improve chicken productivity due to their reported nutritional and medicinal benefits. However, the effects of FTLM on broiler productivity and health are less clear. Thus, this meta-analysis was designed to assess the effects of FTLM on the performance outcomes of broilers Eleven controlled studies were retrieved and used to explore the impacts of dietary FTLM supplementation on growth performance [feed intake (FI), feed conversion ratio (FCR), average daily gain (ADG)], blood lipids, slaughter performance (abdominal fat, breast and thigh muscles weight), meat quality [pH, drip loss, shear force, lightness (L*), redness (a*), and yellowness (b*)], and intestinal histomorphology [villus height (VH), crypt depth (CD) and VH/CD values] of broilers. Subgroup and meta-regression analyses of the effects of moderators (i.e., leaf meal type, supplementation level, broiler strains, rearing phase, and fermentation microbes) on the growth performance of broilers were also assessed. Results show that dietary FTLM supplementation increased FI [standardised mean difference (SMD) = 0.11; 95% confidence interval (CI): 0.02, 0.20; P < 0.0001], improved ADG (SMD = 0.33; 95% CI: 0.23, 0.43; P < 0.0001) and FCR (SMD = − 0.21; 95% CI: − 0.30, − 0.11; P < 0.0001) in broilers. In addition, FTLM enhanced slaughter performance, meat quality, and intestinal histomorphology of broilers. Broilers fed 0—5 g/kg feed FTLM had better FI, FCR, and ADG than the controls taking significant heterogeneity into account. Meta-regression revealed that analysed moderators influenced growth performance results and accounted for some of the sources of heterogeneity. It can be concluded that up to 5 g/kg of FTLM can be added to broiler feed to improve growth performance, intestinal histomorphology, slaughter performance, and meat quality without adverse effects on dressing percentage and blood lipid profiles.