Choice is crucial for industrial enterprises as their success or failure may depend on it. Consequently, emerging technologies, especially Industry 4.0 (I4.0) are making precision decisions and enabling enriching collaborations with the industry’s computer-assisted decision support systems (DSSs). However, the arrival of Industry 4.0 poses challenges to this emerging application in terms of data variations and interconnectivity. A thorough search across Scopus, Web of Science, and Emerald Science databases yielded 2023 relevant documents. Using the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA), the top 250 academic documents were meticulously filtered and analysed in this study. The analysis resulted in the classification of the four main purposes of a DSS as data evaluation, optimisation, scheduling, and selection. The research also investigated the impact of DSSs on the performance of lean manufacturing (LM). Next, this research discussed the controversies with regard to the confidence, prejudice, and discrimination of users, discipline-based DSS application bias, as well as criticisms and suggestions for the future development of DSS, especially in the manufacturing industry. It is believed that, based on its novel findings, this work will pave the way for future research in the same field.