The aim of this study was to determine, through meta-analysis, the effects of malic acid/malate supplementation on ruminal and blood parameters and diet digestibility in cattle. The effect of malic acid/malate addition was evaluated using the effect size (ES) method. Two sensitivity analyses were performed: subgroup analysis and meta-regression. The subgroups were defined as follows: “acid,” representing animals supplemented with malic acid, and “salt,” representing animals supplemented with malate. Diet-related covariates were included in the meta-regression analysis. Overall, malic acid (MAC) supplementation did not significantly affect rumen pH (ES = 0.310, P = 0.17), but subgroup analysis showed that malate increased pH (ES = 1.420, P < 0.01). MAC increased rumen propionate (ES = 0.560, P < 0.01) and total volatile fatty acids (VFAs; ES = 0.508, P = 0.03), while reducing the acetate-to-propionate ratio (P < 0.01). Starch and NDF intake were significant covariates affecting pH and VFA-related variables. MAC improved total-tract digestibility of dry matter (DM; ES = 0.547, P ≤ 0.05), crude protein (CP; ES = 0.422, P ≤ 0.05), and acid detergent fiber (ADF; ES = 0.635, P ≤ 0.05). It increased glucose levels (ES = 0.170, P = 0.05) and reduced NEFA (ES = -0.404, P = 0.03). In conclusion, MAC effects were influenced by its chemical form, improving rumen pH, CP, NDF, and ADF digestibility. MAC increased VFAs, particularly propionate, lowered the acetate-to-propionate ratio, raised blood glucose, and reduced NEFA. Diet-related covariates were important to explain the between-study heterogeneity.