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This article systematically reviews literature on the challenges affecting the delivery of low-income housing in Cape Town, South Africa. A systematic method, informed by PRISMA, was employed to identify, evaluate, and select relevant scholarly works, official documents, policy papers, and governmental publications. The identified sources were subjected to a thematic analysis with the objective to pinpoint recurrent issues that impact the provision of low-income housing. The review found that low-income housing delivery in Cape Town is affected by interconnected challenges, including land availability, spatial inequality, funding constraints, infrastructure limitations, administrative delays, weak institutional coordination, limited stakeholder participation and transparency concerns. The results demonstrate that low-income housing delivery should be viewed as a major governance, planning, and service-delivery issue in addition to the building of housing units. This paper suggests that integrated human settlements, better financial planning, more transparent approval processes, more intergovernmental cooperation, significant stakeholder participation, and open communication should be given top priority when it comes to Cape Town's low-income housing delivery. Through summarizing previous research and emphasizing the necessity of an integrated strategy to address Cape Town's low-income housing issues, the article adds to the conversation regarding housing delivery.