Smart furniture represents a growing field that integrates Internet of Things (IoT), embedded systems and assistive technologies, yet lacks a comprehensive synthesis of its components and applications. This PRISMA-guided systematic review analysed 35 studies published between 2014 and 2024, sourced from PubMed, Web of Science and Scopus. The included studies presented prototypes of smart furniture that used IoT, sensors or automation. The focus was on extracting data related to technological configurations, functional uses, validation methods, maturity levels and commercialisation. Three technological pillars emerged, data collection (n = 31 studies), transmission/processing (n = 30), and actuation (n = 22), often combined into multifunctional systems (n = 14). Health monitoring was the dominant application (n = 15), followed by environmental control (n = 8) and assistive functions for older adults (n = 8). Validation methods varied; 37% relied solely on laboratory testing, while 20% only involved end-users. Only one solution surpassed Technology Readiness Level (TRL) 7 and is currently on the market. Current research remains pre-commercial, with gaps in AI integration, long-term validation, and participatory design. Smart furniture shows promise for healthcare and independent living, but requires standardised evaluation, ethical data practices, and co-creation to achieve market readiness.