We identified three unrelated individuals with de novo missense variants in CDK19, encoding a cyclin-dependent kinase protein family member that predominantly regulates gene transcription. These individuals presented with hypotonia, global developmental delay, epileptic encephalopathy, and dysmorphic features. CDK19 is conserved between vertebrate and invertebrate model organisms, but currently abnormalities in CDK19 are not known to be associated with a human disorder. Loss of Cdk8, the fly homolog of CDK19, causes larval lethality, which is suppressed by expression of human CDK19 reference cDNA. In contrast, the CDK19 p.Tyr32His and p.Thr196Ala variants identified in the affected individuals fail to rescue the loss of Cdk8 and behave as null alleles. Additionally, neuronal RNAi-mediated knockdown of Cdk8 in flies results in semi-lethality. The few eclosing flies exhibit severe seizures and a reduced lifespan. Both phenotypes are fully suppressed by moderate expression of the CDK19 reference cDNA but not by expression of the two variants. Finally, loss of Cdk8 causes an obvious loss of boutons and synapses at larval neuromuscular junctions (NMJs). Together, our findings demonstrate that human CDK19 fully replaces the function of Cdk8 in the fly, the human disease-associated CDK19 variants behave as strong loss-of-function variants, and deleterious CDK19 variants underlie a syndromic neurodevelopmental disorder. Infantile spasms are caused by dysfunction of the developing nervous system and begin in the first 2 years of life, most commonly between 4 and 8 months of age. 1 Infantile spasms are a symptom of generalized brain disturbance and can be caused by infection, 2 developmental brain abnormalities, 3 or genetic disorders such as Down syndrome (MIM: 190685), tuberous sclerosis (MIM: 191100), 4 ARX-related disorders (MIM: 300419), and CDKL5 pathogenic variants (MIM: 300672). 5 Much progress has been made in the past few years in the identification of genes responsible for infantile spasms, but for many the overall prognosis is poor. 6 Cyclin-dependent kinase 19 (CDK19 [MIM: 614720]) and its paralog, CDK8 (MIM: 603184), are members of the transcriptional CDKs. Unlike other CDKs, these transcriptional CDKs are less involved in cell-cycle regulatory processes and are more involved in transcription. 7 CDK19 and CDK8 both interact with cyclin C (MIM: 123838) and mediators. CDK19 forms a CDK module by interacting with MED12L (MIM: 611318) and MED13L (MIM: 608771), whereas CDK8 does so by interacting with MED12 (MIM: 300188) and MED13 (MIM: 603808). 8 Note that MED13L and MED12 are known disease genes associated with intellectual disability. 9,10 This CDK module interacts with the