This review synthesises empirical studies from the past decade investigating child sexual abuse material (CSAM) production and distribution to gain insight into crime commission processes involved in these crimes. The findings highlight overlaps in risk factors for child sexual abuse and CSAM production and distribution, and possible unique risk factors specific to the latter. A substantial amount of CSAM is produced in family contexts, and there are different motivations and strategies for producing CSAM. Taken together, the findings provide important foundational information about the variety of crime commission processes involved in CSAM production and distribution, helping the development of effective prevention and intervention strategies for this increasingly prolific type of crime.