The stage of development of and speed of cultural change in the Chinese market created an environment that differs considerably from that in the West; thus, examining key account management (KAM) in China and concluding its characteristics are necessary. This research adopts the systematic literature review method to review the relevant literature on KAM, including KAM theories, KAM models, KAM empirical studies and KAM practices in China. This study aims to identify and analyze the factors influencing the characteristics of KAM in the Chinese context. And this study summarizes the main factors affecting KAM in China as well as their influence and outcomes. Based on those factors, KAM theories, and Chinese context, the author would make five propositions on the aspects of KAM orientation (KAMO), organization behavior (OB), and relational model ("guanxi" model) to infer the difference and characteristics of Chinese KAM.