Mixed reality (MR) technology has the potential to enhance building construction inspection and monitoring processes, improving efficiency, accuracy, and safety. This systematic review intends to investigate the present research status on MR in building construction inspection and monitoring. The review covers existing literature and practical case studies that scrutinize current technologies, their applications, challenges, and future trends in this rapidly evolving field. This article follows a methodology known as Preferred Reporting Items for Systematic Review and Meta-Analysis (PRISMA) to enhance the credibility and reliability of research. The study includes articles published between 2018 and 2023, identified through a comprehensive search of Scopus and Google Scholar databases. Findings indicate that MR technology has the potential to enhance visualization, communication, and collaboration between stakeholders, as well as increase efficiency and accuracy in inspection and monitoring tasks by providing real-time interactable data and quick decision-making among the project team members. The adoption of MR technology in the construction industry will not only boost its effectiveness but also improve its productivity. However, limitations such as high costs, technical issues, and user acceptance pose challenges to the widespread adoption of MR in building construction. Future research should address these limitations and investigate MR’s long-term impact on building construction inspection and monitoring.