Since the 1950s, the rapid depletion of natural capital due to human activities has led to a growing global demand for ecological and socioeconomic sustainability, driving the development of agroforestry. Although agroforestry ecosystems can maintain sustainable land resources and maximize land productivity, their quality continues to fluctuate. Moreover, there is no clear review of studies addressing the impact of the evolution of agroforestry landscape patterns on their ecosystems, and to fill this gap, we conducted an inclusive review. A total of 163 publications related to agroforestry ecosystem quality and landscape patterns (ELA) that met a set of inclusion criteria were obtained through the Scopus database using the literature review method of searching, appraisal, and synthesis report. The objectives were to summarize the research progress on ELA, reveal the dynamic coupling mechanism between landscape pattern evolution and ecosystem quality, explore the role of landscape pattern optimization in ecological processes and services in agroforestry, and suggest future research and policy directions. Although the understanding of landscape patterns and ecological processes has been deepened, there are limitations in the study of scales, habitats, and other aspects. It is emphasized that understanding the interaction between agroforestry and other landscape elements in spatiotemporal organization is a prerequisite for promoting sustainable benefits, and that the challenges of spatiotemporal dynamics are integrated to scientifically optimize agroforestry landscape patterns. Finally, it is necessary to gain revelations based on the coupling relationship of ELA, through scientific management of agroforestry landscapes, in order to sustainably consolidate the effectiveness of karst rocky desertification (KRD) control and to enhance human welfare.