Although research relating to paradox has burgeoned throughout the past decades, how paradox has been used in generating theoretical contributions remains largely tacit. Hinging on the systematic analysis of 476 publications, this literature review uncovers how scholars have leveraged paradox in demarcating theoretical contributions in the area of management and organization research. First, scholars can make use of paradox as a means to theorize, adding to the core conceptual conversation on paradox. Second, scholars can make use of paradox as a means to understand or advance insight on particular phenomena, drawing from paradox's conceptual knowledge to push forth discussions or debates in other strands of the management and organization field. Finally, scholars can make use of paradox as a way to verbalize something puzzling or surprising, supporting how readers are to appreciate or make sense of theoretical contributions advanced. Denoting approaches identified as highly complementary, this paper offers explicit handholds for academics to develop theoretical contributions through paradox, supporting the consolidation and further elevation of scholarly impact for the paradox community as such.