The development of geopolymer building composites at a lower cost with a smaller carbon footprint may lessen the growing concerns about global warming brought on by emissions of a critical greenhouse gas (CO2) paired with the high production costs in the cement sector. Diatomaceous earth, commonly used as an admixture or partial replacement of cement owing to its most effective pozzolanic properties, has been investigated as a precursor in geopolymer concrete development. Several studies have been examined to develop a greater understanding of its characterization, inclusion status, and impacts on the performance aspects of concrete. The literature review showed that using diatomaceous earth is one of the effective ways to create sustainable, insulating, lightweight building materials while minimizing the harmful economic and environmental effects of industrial solid wastes. However, since most studies have focused on its integration as a partial cement substitute or a replacement for fine aggregate, further research on diatomaceous earth-based clinker-free concrete is required. A lack of research on geopolymer concrete’s reinforcement with either natural or synthetic fibers, or a combination of the two, was also discovered. This review also showed that there has been remarkably little effort made towards theoretical property correlation modeling for predicting concrete performance. It is anticipated that the detailed overview presented herein will guide potential researchers in defining their future paths in the study area.