Fitts’ law, a predictive model for motor task completion time, is widely utilized in human–computer interaction (HCI) research. While its formulas in two dimensions have achieved consensus over the decades, research diverges on its application in three dimensions. This paper synthesizes practical applications across touchscreens, virtual reality (VR), pedals, handheld devices, etc., with a specific emphasis on enhancing interaction experiences for vulnerable populations. This review studies Fitts’ law’s applicability in diverse interaction scenarios, highlighting design considerations for touchscreens and handheld/foot-held devices. This article underscores the need for future research to explore three-dimensional applications and consider user age, with potential expansions into medical and sports domains. This systematic review aims to empower designers in crafting more ergonomic products and improving HCI experiences.