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Lithuania is located on the East of Baltic sedimentary basin and has a geothermal anomaly situated in the southwestern region of the country. There are two primary geothermal complexes within the anomaly, composed of Cambrian and Devonian aquifers. The Cambrian formation is composed of sandstones that have a reservoir temperature reaching up to 96 °C (depth > 2000 m). The Devonian aquifer is composed of unconsolidated sands of Parnu–Kemeri and has a reservoir temperature of up to 46 °C (depth > 1000 m). Historically, both formations have been investigated for geothermal energy production. In this article, we present a detailed literature review of the geothermal work carried out on both formations, including past, present, and some possible future studies. The study presented in this paper highlights the key findings of previous research work, summarizes the research gaps, and then elaborates on the possible applications of emerging technologies to bridge the research gaps and improve our understanding of geothermal complexes in Lithuania. Although it is not the main aim of this article, this article also touches upon the important need to develop 2D/3D numerical models, to quantify uncertainties, in the evaluation of the geothermal potential in Lithuania for commercial development. This study also highlights possibilities of extending geothermal development to depleted hydrocarbon reservoirs through repurposing the high-water-production wells. Moreover, from the literature review, it can be concluded that the Lithuanian geothermal aquifers are hyper-saline in nature and temperature changes lead to the deposition of salts both upstream and downstream of the reservoir. Therefore, there is a need for developing multiphysics thermo-mechanical–chemical (THMC) models for evaluation of reservoir behavior. The literature also describes the potential use and development of the THMC model as a part of future work that must be carried out. [ABSTRACT FROM AUTHOR]