Plants are frequently exposed to one or more abiotic stresses, including combined salinity-drought, which significantly lowers plant growth. Many studies have been conducted to evaluate the responses of plants to combined salinity and drought stress. However, a meta-analysis-based systematic review has not been conducted yet. Therefore, this study analyzed how plants respond differently to combined salinity-drought stress compared to either stress alone. We initially retrieved 536 publications from databases and selected 30 research articles following a rigorous screening. Data on plant growth-related, physiological, and biochemical parameters were collected from these selected articles and analyzed. Overall, the combined salinity-drought stress has a greater negative impact on plant growth, photosynthesis, ionic balance, and oxidative balance than either stress alone. In some cases, salinity had a greater impact than drought stress and vice versa. Drought stress inhibited photosynthesis more than salinity, whereas salinity caused ionic imbalance more than drought stress. Single salinity and drought reduced shoot biomass equally, but salinity reduced root biomass more than drought. Plants experienced more oxidative stress under combined stress conditions because antioxidant levels did not increase in response to combined salinity-drought stress compared to individual salinity or drought stress. This study provided a comparative understanding of plants’ responses to individual and combined salinity and drought stress, and identified several research gaps. More comprehensive genetic and physiological studies are needed to understand the intricate interplay between salinity and drought in plants.