This narrative review focuses on the studies that estimate the energy systems’ contributions during match simulations of striking (boxing, karate, and taekwondo), grappling (judo), and weapon-based (fencing) Olympic combat sports. The purpose is to provide insights into the metabolism of these athletes. In striking Olympic combat sports, the oxidative contribution varied from 62% (in karate and taekwondo) to 86% (in boxing), the ATP-PCr system contribution varied from 10% (in boxing) to 31% (in taekwondo), and the glycolytic contribution was between 3% (in the third round of taekwondo) and 21% (in karate). In grappling combat sports, only judo was studied, and for a 4 min match, the oxidative contribution was 79%, followed by 14% ATP-PCr system contribution and 7% contribution from the glycolytic system. In fencing, the only weapon-based Olympic combat sport, the oxidative contribution varied from 81% (in the first bout) to 90% (in the second bout), followed by 9% (bout 2) to 12% (bout 1) contribution from the ATP-PCr system, and 0.6% to 7% contribution from the glycolytic system during 3 × 3 min bouts of épée match simulation. Hence, Olympic combat sports are primarily powered by the oxidative system, but the key scoring actions are likely fueled by anaerobic pathways.