As the Malaysian government had announced its visionary approach towards creating an innovative and productivity led a work force in its 10 Malaysian Plan, the need for analyzing the various characteristics of knowledge-centric organizational spinoff as decision-centric organization has become inevitable. The primary objective of this study is to review empirical studies focused on knowledge management (KM) process among Malaysian manufacturing SMEs; to identify (a) the supportive programs and policies to promote knowledge management among Malaysian SMEs, (b) the common characteristics of KM practices among manufacturing SMEs in Malaysia, and (c) internal and external factors contributing KM practices by manufacturing SMEs in Malaysia. The findings of this study will provide a framework to explain the association between internal and external factors contributing KM practices by manufacturing SMEs in Malaysia and how Malaysian manufacturing SME’s transforming from knowledge-centric organizations to decision-centric organizations.