**Abstract** **Background:** Many individuals hear positive voices or make positive interpretations about their voice-hearing experiences. However, current assessment tools do not capture positive aspects of voice-hearing (VH) as comprehensively as they capture negative aspects. This may limit accurate assessment and formulation of voices when people seek help from mental health services. **Review Question**:- How well do VH assessment measures capture positive VH experiences? **Method:** We conducted a systematic review of assessment measures, which included at least one item on VH. We developed a novel framework to define “positive VH experiences”, which was co-produced by clinical experts in psychosis and people with VH experiences. This framework was then used to identify and map items relating to positive aspects of VH. **Results:** Thirty-three measures were identified, of which twenty incorporated positive VH experiences. Measures published within the last decade (2009-2019) captured a greater number and diversity of positive VH experiences, compared to measures published prior to 2009. Items relating to the function/intention of voices and the emotional impact, were most commonly found in measures. **Conclusions:** Results suggest a trend towards considering broader and more positive experiences of VH over time, and also an increasing perception within research of VH as being on a spectrum with normal, healthy psychological functioning. **Clinical implications:** Using measures which include positive aspects of VH may provide clinicians with more holistic understandings of VH experiences; this in turn could influence treatment approaches and potentially enhance engagement amongst voice-hearers seeking help from services.