This study was aimed at exploring the relations between paternalistic leadership and follower effects including job performance, job satisfaction and organizational citizenship behaviors in a cultural Chinese society (Taiwan). Furthermore, we examined the moderating effects of the leader-member exchange on the relationships between paternalistic leadership and follower effects on job results and job attitudes The purposive sampling method was used to conduct surveys with structured questionnaires among full-time workers from 109 small and medium enterprises (SMEs) in Taiwan. A total of 774 participants returned valid responses for further analysis. It found that benevolent leadership was positively related to all work consequences. Moral leadership was positively related to job satisfaction and organizational citizenship behaviors. Authoritarian leadership was positively related to organizational citizenship behavior, however, according to further analysis, only leader and member had higher exchange quality, the positive relationship happened. In addition, higher leader and member exchange quality would strengthen the positive relationship between authoritarian leadership and job performance, benevolent leadership and job performance, as well as the positive relationship between benevolent leadership and organizational citizenship behavior. But while with poorer exchange quality, supervisors’ moral leadership could lead to high job performance.