Bullying in Pakistani orphanages is a serious but understudied issue that threatens children’s physical and psychological well-being. This study surveyed 600 adolescents aged 10–19 from orphanages in Gujrat, Gujranwala, and Lahore to examine the effects of bullying. Results showed that boys were more involved in fights and victimization than girls, younger children (8–12) reported higher bullying scores than older peers, and underweight children faced the highest levels of bullying. Length of institutional stay was not linked to bullying. The findings emphasize the need for gender-sensitive psychological support, better nutrition for underweight children, and caregiver training in trauma-informed practices to strengthen child protection in orphanages.