Limited published reports of nutritional diseases affecting llamas and alpacas were found in a detailed review of relevant literature sources. Anecdotal clinical experiences and nutritional diseases that have been reported range from those diagnosed in common with other species to diseases having a presentation unique to camelids. Vitamin D-associated rickets and greater susceptibility to hepatic lipidosis and zinc deficiency are distinctive nutritional problems for llamas and alpacas. This article will review commonly encountered nutritional diseases, based on literature reports and clinical experience, in llamas and alpacas.