Lean Startup provides an iterative, hypothesis-driven approach to business creation and product development, promoting data-driven decision-making by involving potential users and customers during the development cycle. Despite increased academic attention, the debate on the benefits of Lean Startup is open. To contribute to the understanding of how organisations incorporate Lean Startup principles, this study conducts a systematic literature review and identifies the industries in which its application has been analysed, the adaptation models followed by organisations, and the key drivers for its adoption in new and established organisations. The study's findings contribute to advancing knowledge on the adoption of Lean Startup principles, tools, and techniques in organisations. The results also help to the academic debate surrounding the usefulness and application of Lean Startup principles across different organisational contexts.