Purpose of Review <p>Positive symptoms of psychosis, such as hallucinations and delusions, can be profoundly distressing and debilitating for those affected. Emerging evidence indicates virtual reality (VR) interventions offer a promising avenue for treatment of psychosis. The aim of this systematic review and meta-analysis was to examine the effectiveness of VR interventions on alleviating the positive symptoms of psychosis.</p> Recent Findings <p>Studies were identified following a systematic search of titles, abstracts, and keywords in seven databases. A total of 82 full-text articles were screened, with eight studies meeting the criteria for inclusion in the meta-analysis. A total of 786 participants were represented in the included studies. The analysis, encompassing combined positive symptoms, hallucinations, and delusions, indicates a non-significant small effect size of <i>g</i> = 0.10 (<i>p</i> =.445) for combined symptoms, a non-significant small effect size of <i>g</i> =.14 (<i>p</i> =.129) for hallucinations and a significant medium effect size of <i>g</i> =.34 (<i>p</i> =.001) for delusions.</p> Summary <p>The findings suggest that VR interventions exhibit promise in reducing delusions compared to traditional treatments, but more research is required.</p>