IMPORTANCE Anhedonia can present in children and predict detrimental clinical outcomes. OBJECTIVE To map anhedonia in children onto changes in intrinsic large-scale connectivity and task-evoked activation and to probe the specificity of these changes in anhedonia against other clinical phenotypes (low mood, anxiety, and attention-deficit/hyperactivity disorder [ADHD]). DESIGN, SETTING, AND PARTICIPANTS Functional magnetic resonance imaging (fMRI) data were from the first annual release of the Adolescent Brain Cognitive Development study, collected between September 2016 and September 2017 and analyzed between April and September 2018. Cross-sectional data of children aged 9 to 10 years from unreferred, community samples during rest (n = 2455) and during reward anticipation (n = 2566) and working memory (n = 2465) were analyzed. MAIN OUTCOMES AND MEASURES Alterations in fMRI data during rest, reward anticipation, and working memory were examined, using both frequentist and Bayesian approaches. Functional MRI connectivity within large-scale networks, between networks, and between networks and subcortical regions were examined during rest. Functional MRI activation were examined during reward anticipation and working memory using the monetary incentive delayed and N-back tasks, respectively. RESULTS Among 2455 children with adequate-quality resting-state fMRI data (mean [SD] age, 10.04 [0.62] years; 1187 girls [48.35%]), children with anhedonia (215 [8.76%]), compared with those without anhedonia (2222 [90.51%]), showed hypoconnectivity among various large-scale networks and subcortical regions, including within the arousal-related cingulo-opercular network (mean [SD] with anhedonia, 0.27 [0.08] vs without anhedonia, 0.29 [0.08]; t 2,435 = 3.14; P = .002; q[false discovery rate] = 0.07; ln[Bayes factor 10 ] = 2.32). Such hypoconnectivity did not manifest among children with low mood (241 of 2455 [9.82%]), anxiety (93 of 2455 [3.79%]), or ADHD (397 of 2455 [16.17%]), suggesting specificity. Similarly, among 2566 children (mean [SD] age, 10.03 [0.62] years; 1257 girls [48.99%]) with high-quality task-evoked fMRI data, children with anhedonia (213 of 2566 [8.3%]) demonstrated hypoactivation during reward anticipation in various areas, including the dorsal striatum and areas of the cingulo-opercular network. This hypoactivity was not found among children with low mood (240 of 2566 [9.35%]), anxiety (83 of 2566 [3.23%]), or ADHD (430 of 2566 [16.76%]). Moreover, we also found context-and phenotype-specific double dissociations; while children with anhedonia showed altered activation during reward anticipation (but not working memory), those with ADHD showed altered activation during working memory (but not reward anticipation). CONCLUSIONS AND RELEVANCE Using the Adolescent Brain Cognitive Development study data set, phenotype-specific alterations were found in intrinsic large-scale connectivity and task-evoked activation in children with anhedonia. The hypoconnectivity at rest and hypoactivation during reward anticipati...