Localized spatial patterns commonly occur for various classes of linear and nonlinear diffusive processes. In particular, localized spot patterns, where the solution concentrates at discrete points in the domain, occur in the nonlinear reactiondiffusion (RD) modeling of diverse phenomena such as chemical patterns, biological morphogenesis, and the spatial distribution of urban crime. In a 2-D spatial domain we survey some recent and new results for the existence, linear stability, and slow dynamics of localized spot patterns by using the Brusselator RD model as the prototypical example. In the context of linear diffusive systems with localized solution behavior, we will discuss some previous results for the determination of the mean first capture time for a Brownian particle in a 2-D domain with localized traps, and the determination of the persistence threshold of a species in a 2-D landscape with patchy food resources. Common features in the analysis of all of these spatially localized patterns are emphasized, including the key role of certain matrices involving various Green's functions, and the derivation and study of new classes of interacting particle systems and discrete variational problems arising from various asymptotic reductions. The mathematical tools include matched asymptotic analysis based on strong localized perturbation theory, spectral analysis, the analysis of nonlocal eigenvalue problems, and bifurcation theory. Some specific open problems are highlighted and, more broadly, we will discuss a few new research frontiers for the analysis of localized patterns in multi-dimensional domains.