Conservation of architectural heritage structures (AHS) requires compatible built her-itage materials with aesthetic, physical, chemical, and mechanical properties similar to those of the original materials. In recent years, however, urbanization, land reclamation, depletion of stone quarries, anti-mining and anti-quarrying legislation have limited access to original heritage materials. In the absence of the original heritage materials, ce-ment-based alternatives have been developed and widely applied for conservation. Major drawbacks of concrete- and cement-based materials include their large carbon footprint and long-term damage to the original rock or substrate, due to inadvertent promotion of salt efflorescence. This study systematically reviewed geopolymer-based materials as a sustainable, greener alternative to concrete- and cement-based materials for tuff- and coral rock-built heritage structures. The Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines were implemented for the literature review, using Scopus, Web of Science (WoS), and Google Scholar (supplementary) as databases, between 2013 and 2024. Inaccessible items, non-English, reviews, conference proceedings, book chapters, errata, and papers unrelated to geopolymers, tuff, and coral rock were excluded, resulting in a total of 103 articles. These works were classified into geopolymers (34 arti-cles), tuff-built heritage structures (60 articles), and coral rock-built heritage structures (9 articles). This review included 103 items in the qualitative analysis; however, only 34 arti-cles contained meaningful data for content analysis. These 34 articles were categorized in terms of the (i) main precursors; that is, metakaolin, fly ash, slag, and pyroclastic materi-als (i.e., pumice, volcanic ash, and volcanic soil), ceramic, others (i.e., tuff waste, silica fume, and mine wastes), (ii) formulations (i.e., precursors, activators, admixtures, and ag-gregates), and (iii) compressive strength. Furthermore, critical factors for compatibility were reviewed and classified into aesthetics (e.g., color, presence of efflorescence, and tex-ture) and physical, chemical, and mechanical properties. This review also explored recent applications of geopolymers in heritage structures, indicating that geopolymers are typi-cally used as repair mortar and consolidants. Finally, a bibliometric analysis was con-ducted to evaluate research trends on geopolymers, including a critical assessment of their aesthetic compatibility with heritage structures in the Philippines built with volcanic tuff and coral rock.