As screen time (ST) constitutes an integral part of the daily lives of young children today, parents, educators, and researchers have started to explore the associations of ST with children’s cognitive, behavioral, and social outcomes. The majority of existing studies have primarily focused on the duration of ST in relation to these outcomes despite the importance of other aspects such as content and type of device in the context of an evolving digital landscape marked by high mobility, ubiquity, and diversity. Addressing this gap, the current study aimed to explore the intricate relations between multiple aspects of ST (i.e., duration and content), executive function (EF) difficulties, and school adjustment in school-aged children, with a particular focus on the mediating role of EF difficulties linking the relations between ST and school adjustment. The current study employed data from the Panel Study on Korean Children, tracking 1,484 South Korean children from third to fourth grade. The duration of ST was measured by the average daily hours spent on smart devices and computers. Parent reports of the levels of engagement in recreational and educational ST and EF difficulties were assessed on Likert scales. School adjustment was reported on by teachers. The results from a half-longitudinal mediation model demonstrated that more frequent engagement in educational ST was related to fewer EF difficulties, which was in turn associated with better school adjustment. The current findings suggest that multiple approaches are needed to effectively guide children’s ST use in their everyday lives and interventions that target EF might be an effective way to promote children's behavioral and social adjustment in school settings.