This systematic review centres planning, policy and/or strategic developments and implementation of climate change adaptation with Indigenous groups in Australia, Pacific Islands, Canada and the United States. We used PRISMA protocols to search five databases. The search was organised around three core areas: Indigenous people groups, climate change strategic planning, and Indigenous knowledge and active participation. A total of 6,338 articles from five databases were identified. Records were screened by title and abstract, leaving 87 articles that were assessed by full text. A total of 22 studies were included. The He Pikinga Waiora Implementation Framework was used as a matrix to analyse included articles. While studies included Indigenous groups in their research, most did not score highly for active inclusion of Indigenous knowledge, integrated knowledge translation or systems change. In general, studies had mediocre processes of inclusion that resulted in average responses and modest influence in decision-making forums.