While indoor comfort represents a widely investigated research topic with relation to sustainable development and energy-demand reduction in the built environment, outdoor comfort remains an open field of study, especially with reference to the impacts of climate change and the quality of life for inhabitants, particularly in urban contexts. Despite the relevant efforts spent in the last few decades to advance the understanding of phenomena and the knowledge in this specific field, which obtained much evidence for the topic's relevance, a comprehensive picture of the studies, as well as a classification of the interconnected subjects and outcomes, is still lacking. This paper reports the outcomes of a literature review aimed at screening the available resources dealing with outdoor thermal comfort, in order to provide a state-of-the-art review that identifies the main topics focused by the researchers, as well as the barriers in defining suitable indexes for assessing thermal comfort in outdoor environments. Although several accurate models and software are available to quantify outdoor human comfort, the evocated state of mind of the final user still remains at the core of this uncertain process.Energies 2020, 13, 2079 2 of 22 more people to use outdoor spaces would bring greater benefits into the physical, environmental, economic and social spheres of the cities [6-9].Scientists worldwide have thus focused their attention on this topic, making available a wide range of tools and methods to assess human thermal outdoor comfort in different climatic contexts. Over 100 biometeorological and thermal stress indexes [10] have been developed, adopting different approaches and rationales, aiming at linking the microclimatic conditions to the perceived sensations.Since the available knowledge on human thermal perception and related evaluation protocols were mainly the ones previously developed for interior spaces and other confined spaces, the assessment of outdoor conditions initially refers to these patterns [11].In fact, human thermal comfort and its assessment were studied since the beginning of the 20th Century, when the first simplified models were developed [12]. The two node model applied thermodynamics principles to energy exchanges between the human body and its thermal environment [13] for the first time during the 1930s, but it is only from the 1960s onwards that researchers were able to analyze the main climatic parameters connected to the perception of thermal comfort (e.g., air temperature, radiant temperature, air humidity, air flow velocity) when the first climate chambers were made available [14]. The cornerstone studies of Givoni [15] and Fanger [16] led in the following years to the identification of new parameters that are currently considered essential elements in the contemporary assessment of thermal comfort. The advances in the physics of heat exchange knowledge gained during the 1980s and the increasing availability of computer tools to support the research activity allowed relevant progress on...