Violence against children affects children in every region, nation, and community in the world. Despite a significant body of literature about the victims of such violence, there has been little empirical research, particularly in Sub-Saharan Africa, focused on perpetrators, their relationship to victims, and interventions that might alter their behavior. This scoping review sought to identify and summarize the scholarly literature on perpetrators of violence against children in Sub-Saharan Africa and their relationship with victims. Using a keyword search of academic databases, we included peer-reviewed studies published from January 2013 to June 2023 that focused on physical, sexual, or emotional violence against children in Sub-Saharan Africa and included prevalence data about victim–perpetrator relationships. Eighteen of the 42 studies that met eligibility criteria shared one or more primary data sources with other studies included in this review, most frequently using data from Violence Against Children Surveys (10), the Uganda Good Schools Project (7), and the National Child Homicide Study (3). The most common classifications of perpetrators, in order of frequency, were caregivers/family members, intimate partners, peers, teachers/school staff and strangers, and the most common settings in which research took place were schools. Wide variability in the taxonomies used to define and report frequencies for age, victim, perpetrator, and type of violence obscures our ability to form a complete picture of victim–perpetrator relationships. Research emphasis on victims of violence may lead to missed opportunities to disrupt the perpetration of violence against children through interventions that specifically target its source.