Electric vehicles (EVs) have fundamentally changed the noise, vibration, and harshness (NVH) landscape of automotive powertrains. In the absence of masking inter-nal-combustion-engine noise, harmonic components such as gear whine, electric-motor orders, and inverter-related tones become more perceptible and more critical to vehicle re-finement. This review synthesizes the current state of the art in harmonic NVH engineer-ing for electric drivetrains, focusing on the interactions between gear geometry, manufac-turing variability, electromechanical coupling, structural transfer, and human sound per-ception. Classical mechanisms of gear-mesh excitation are revisited together with emerg-ing EV-specific challenges, including long-wavelength flank deviations, ghost orders, lightweight housing dynamics, and psychoacoustic sound-quality requirements. The re-view further examines recent progress in predictive and data-driven approaches, includ-ing machine-learning-based gear-noise modeling, digital-twin concepts, and virtual NVH assessment workflows. Overall, the literature shows that harmonic NVH engineering in EVs is evolving from a conventional gear-noise problem into a multidisciplinary sys-tem-level task integrating gear dynamics, manufacturing science, structural acoustics, electric-drive control, psychoacoustics, and data-driven optimization. This review pro-vides a structured synthesis of these developments and identifies key research gaps and future directions for the next generation of refined electric drivetrains.