In this systematic literature review, the intersection of deep learning applications within the aphasia domain is meticulously explored, acknowledging the condition’s complex nature and the nuanced challenges it presents for language comprehension and expression. By harnessing data from primary databases and employing advanced query methodologies, this study synthesizes findings from 28 relevant documents, unveiling a landscape marked by significant advancements and persistent challenges. Through a methodological lens grounded in the PRISMA framework (Version 2020) and Machine Learning-driven tools like VosViewer (Version 1.6.20) and Litmaps (Free Version), the research delineates the high variability in speech patterns, the intricacies of speech recognition, and the hurdles posed by limited and diverse datasets as core obstacles. Innovative solutions such as specialized deep learning models, data augmentation strategies, and the pivotal role of interdisciplinary collaboration in dataset annotation emerge as vital contributions to this field. The analysis culminates in identifying theoretical and practical pathways for surmounting these barriers, highlighting the potential of deep learning technologies to revolutionize aphasia assessment and treatment. This review not only consolidates current knowledge but also charts a course for future research, emphasizing the need for comprehensive datasets, model optimization, and integration into clinical workflows to enhance patient care. Ultimately, this work underscores the transformative power of deep learning in advancing aphasia diagnosis, treatment, and support, heralding a new era of innovation and interdisciplinary collaboration in addressing this challenging disorder.