Heat carried by ground water serves as a tracer to identify surface water infiltration, flow through fractures, and flow patterns in ground water basins. Temperature measurements can be analyzed for recharge and discharge rates, the effects of surface warming, interchange with surface water, hydraulic conductivity of streambed sediments, and basin-scale permeability. Temperature data are also used in formal solutions of the inverse problem to estimate ground water flow and hydraulic conductivity. The fundamentals of using heat as a ground water tracer were published in the 1960s, but recent work has significantly expanded the application to a variety of hydrogeological settings. In recent work, temperature is used to delineate flows in the hyporheic zone, estimate submarine ground water discharge and depth to the salt-water interface, and in parameter estimation with coupled ground water and heat-flow models. While short reviews of selected work on heat as a ground water tracer can be found in a number of research papers, there is no critical synthesis of the larger body of work found in the hydrogeological literature. The purpose of this review paper is to fill that void and to show that ground water temperature data and associated analytical tools are currently underused and have not yet realized their full potential.