The mechanical properties of concrete degrade rapidly when exposed to elevated temperatures. Adding fibres to concrete can enhance its thermal stability and residual mechanical characteristics under high-temperature conditions. Various types of fibres, including steel, synthetic and natural fibres, are available for this purpose. This paper provides a comprehensive review of the impact of synthetic fibres on the performance of fibre-reinforced concrete at high temperatures. It evaluates conventional synthetic fibres, including polypropylene (PP), polyethylene (PE), and polyvinyl alcohol (PVA) fibres, as well as newly emerging macro fibres that improve concrete’s fire resistance properties. The novelty of this review lies in its focus on macro fibres as a promising alternative to conventional synthetic fibres. The findings reveal that PE fibres significantly influence the residual mechanical properties of fibre-reinforced concrete at high temperatures. Although PVA fibres may reduce compressive strength at elevated temperatures, they help reduce micro-cracking and increase flexibility and flexural strength. Finally, this review demonstrates that while conventional synthetic fibres are effective in limiting fire-induced damage, macro fibres offer enhanced benefits, including improved toughness, energy absorption, durability, corrosion resistance, and post-cracking capacity. This study provides valuable insights for developing fibre-reinforced concrete with superior high-temperature performance. Steel fibres offer superior strength but are prone to corrosion and spalling, while PP fibres effectively reduce explosive spalling but provide limited strength improvement. PE fibres enhance flexural performance, and PVA fibres improve tensile strength and shrinkage control, although their performance decreases at high temperatures. Macro fibres stand out for their post-cracking capacity and toughness, offering a lightweight alternative with better overall durability.