Owing to the capability of the conversion between thermal energy and electrical energy and their advantages of lightweight, compactness, noise-free operation, and precision reliability, wearable thermoelectrics show great potential for diverse applications. Among them, weavable thermoelectrics, a subclass with inherent flexibility, wearability, and operability, find utility in harnessing waste heat from irregular heat sources. Given the rapid advancements in this field, a timely review is essential to consolidate the progress and challenge. Here, we provide an overview of the state of weavable thermoelectric materials and devices in wearable smart textiles, encompassing mechanisms, materials, fabrications, device structures, and applications from recent advancements, challenges, and prospects. This review can serve as a valuable reference for researchers in the field of flexible wearable thermoelectric materials and devices and their applications.