Building Information Modelling (BIM) has emerged as a transformative force in the construction industry, gaining traction within the hydropower sector. This study critically examines the adoption and application of BIM throughout the entire lifecycle of hydropower projects, addressing a notable gap in existing research, to encompass a holistic approach to the management and resilience of these critical infrastructures. The objective is to delineate the comprehensive range of BIM applications, use cases, and adoption, integrating technologies including Digital Twin, UAV, GIS, and simulation tools, across components of hydropower projects. Employing a systematic search paired with a critical review of the selected literature, this study meticulously evaluates significant contributions in this domain. Through thematic analysis, the multifaceted utility of BIM in hydropower structures, including an in-depth evaluation of its current adoption within the industry, is presented. This encompasses an analysis of both benefits and challenges inherent in BIM implementation for hydropower infrastructures. This study is a significant contribution to understanding how BIM can be leveraged to enhance the resilience of hydropower infrastructures. It provides a comprehensive view of BIM’s applications, challenges, and future potential, guiding stakeholders in adopting strategies that ensure these structures withstand, adapt, and recover from disruptions while maintaining sustainable and efficient operations.