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Organisations often appraise the performance of their staff so as to know their current and future skills. The effectiveness of the implementation of performance management practices depends on a variety of factors that are interrelated to the success of the implementation in organisations. This study examines the effect of performance management systems on employees’ performance in Federal Medical Centre, Keffi, Nasarawa State. The study adopted a descriptive research design, and the population was comprised of 3,700 employees of Federal Medical Centre, Keffi, Nasarawa State, of which an estimated sample size of 361 was drawn using Taro Yamane