Degenerative disorders of the newborn are relatively rare. Nonetheless, they are important to recognize because a few are treatable when diagnosed early. Dividing these disorders into those that primarily affect gray matter, white matter, or both is useful. Disorders of gray matter are characterized by seizures, myoclonus, spikes, or sharp activity on electroencephalogram, failure of cognitive development, and retinal disease. Some are accompanied by visceral storage including GM1 gangliosidosis, GM2 gangliosidosis, Niemann-Pick disease, Gaucher disease, Farber disease, and infantile sialic acid storage disease. Other gray matter disorders such as Tay-Sachs disease, congenital neuronal ceroid-lipofuscinosis, Alpers disease, and Menkes disease lack visceral storage. White matter disorders are characterized by marked motor deficits and slow activity on electroencephalogram and include Canavan disease, Alexander disease, Krabbe disease, Pelizaeus-Merzbacher disease, and Aicardi-Goutieres disease. Disorders that affect both white and gray matter often target subcellular structures (mitochondria, peroxisomes), target amino acid or neurotransmitter synthesis pathways, and can have regional selectivity for the cerebellum, pons, or basal ganglia. Examples include neonatal adrenoleukodystrophy, Zellweger syndrome, Leigh syndrome, mitochondrial encephalopathies, congenital disorders of glycosylation, pontocerebellar hypoplasias, neurotransmitter defects including serine synthesis deficiency, and Rett syndrome in males. We discuss each of these disorders briefly, focusing on clinical features, diagnosis, genetics, neuropathology, neuroimaging findings, current treatments, and emerging therapies.