Recently, scholars have embraced sustainability as a crucial concept deeply ingrained in architectural designs, particularly Islamic geometric patterns (IGP). These patterns hold significance in reflecting Islamic history, identity, and culture. This systematic review explores how scholars have integrated IGPs into modern design, considering the sustainability aspect. The Preferred Reporting Items for Systematic Reviews (PRISMA) reporting checklist was used due to its organized structure as a guide to conduct this review (2012–2022). Data was collected through recognized databases (i.e., Scopus and ProQuest) that house a wide array of journals and publications. Selected journals were categorized based on sustainability pillars—environmental, economic, social, and cultural. In addition, case studies from the region are discussed, as studies didn’t explicitly explore the connection between sustainability and the use of Islamic geometric patterns in modern design. Findings indicate that papers predominantly discuss the positive effects on environmental and economic sustainability through IGP implementation. Conversely, social sustainability received comparatively less attention from scholars. Case studies showed that most building designs in the Middle East use IGP to conserve Islamic history and identity, especially in the United Arab Emirates (UAE). This review sheds light on the potential of geometric patterns as a vehicle for sustainable design and contributes to the broader discourse on sustainable architecture.