Fog computing has emerged as a promising paradigm to extend cloud services toward the edge of the network, enabling low-latency processing and real-time responsiveness for Internet of Things (IoT) applications. However, the distributed, heterogeneous, and resource-constrained nature of fog environments introduces significant challenges in balancing workloads efficiently. This study presents a systematic literature review (SLR) of 113 peer-reviewed articles published between 2020 and 2024, aiming to provide a comprehensive overview of load-balancing strategies in fog computing. This review categorizes fog computing architectures, load-balancing algorithms, scheduling and offloading techniques, fault-tolerance mechanisms, security models, and evaluation metrics. The analysis reveals that three-layer (IoT–Fog–Cloud) architectures remain predominant, with dynamic clustering and virtualization commonly employed to enhance adaptability. Heuristic and hybrid load-balancing approaches are most widely adopted due to their scalability and flexibility. Evaluation frequently centers on latency, energy consumption, and resource utilization, while simulation is primarily conducted using tools such as iFogSim and YAFS. Despite considerable progress, key challenges persist, including workload diversity, security enforcement, and real-time decision-making under dynamic conditions. Emerging trends highlight the growing use of artificial intelligence, software-defined networking, and blockchain to support intelligent, secure, and autonomous load balancing. This review synthesizes current research directions, identifies critical gaps, and offers recommendations for designing efficient and resilient fog-based load-balancing systems.