Geological and geomorphological heritage (geoheritage) is often found in mountain domains that also provide resources for climbing, mountaineering, bouldering, and canyoning. The relevant research has grown in the 2010s, and its main findings need systematization. The present paper reviews the available scientific articles dealing with geoheritage and climbing activities. The number of sources remains limited, and the majority of them focus on Europe. However, these sources are rather diverse thematically. A total of 11 principal topics are delineated, and these are attributed to geoconservation, geoeducation, the tourism industry, and tourism opportunities. Several methodologies for assessment of geoheritage and climbing sites are proposed. These provide important insights, but focus on particular issues and can be applied in particular situations. Critical consideration of the available literature permits the identification of several research gaps that should be addressed by future research. The analysis of the sources implies several dimensions for sustainability judgments. Finally, the importance of the world’s highest peaks for the understanding of geoheritage and climbing activities is underappreciated by the reviewed works, and this deficiency should be addressed by future investigation.