South Africa is a home to many indigenous fruits. The popularity of including plant-based antioxidants in the diet is increasing due to their health benefits. Kei apple, Natal plum, monkey orange, and marula are common Southern African fruits. Although they are found in the wild, they are commercially grown to produce traditional processed products. This review describes the fruit morphology; bioactive compounds such as phenolic acids, flavonoids, ascorbic acid, and amino acids; antioxidant properties; and biological activities present in Southern African fruits such as Kei apple, Natal plum, monkey orange, and marula and their health benefits.