Thermophysiological comfort in humans is sought universally but seldom achieved due to biological and physiological variances. Most people in developed parts of the world rely on central heating and cooling systems to achieve thermophysiological comfort which is highly energy-intensive, inefficient, and rarely satisfactory. A potential solution to this issue is a wearable personal thermal comfort system (PTCS) consisting of textile-based temperature and moisture sensors, that can sense the environment and physiology of the wearer, combined with thermal and moisture responsive actuators, and/or heating/cooling devices to provide an individualized thermal environment. Moving thermal regulation away from the built environment to the microclimate surrounding the human body with the use of textiles has the This article is protected by copyright. All rights reserved. 2 potential to provide personalized thermal comfort and energy savings. Such a system may employ thermal comfort models and leverage the Internet of Things (IoT) and machine learning (ML) to understand individuals' comfort requirements in the current environment. Herein, the current state of textile-based active and passive thermophysiological comfort systems/technologies is summarized, including their environmental impact, major thermal comfort models, and factors influencing comfort (such as heat and moisture transfer). Also, active and passive textile-based devices (sensors, actuators, and flexible heating/cooling devices) that may be incorporated into a textile-based wearable PTCS are comprehensively discussed with an emphasis on their advantages, limitations, and future prospects.