Earth is a complex material with a mechanical and physical behavior that differs from modern building materials. The conservation of rammed earth (RE) constructions presents specific difficulties that are challenging to overcome. The lack of knowledge about RE due to its abandonment for decades and attempts to adopt materials and repair methodologies designed for new building products has led to inadequate interventions. In the case of historic defensive constructions, the doubts and technical difficulties are even greater due to the nature of the so called military RE (with physical and mechanical characteristics significantly different from those of civil, more common, RE) and, not least, due to the historical and cultural heritage value of these constructions. Some important interventions have been carried out recently and others are underway or in the planning stage, and there is a constant lack of information and technical data on the best ways to intervene. To fill this gap, the state of conservation of the RE defensive structures and the results of interventions carried out throughout history in the southwest of the Iberian Peninsula are being assessed. This article sets out the framework of the subject, identifies the material and construction techniques, and recognizes the main causes of its deterioration and decay. With special focus on the most frequent damages detected in historic military defensive structures built with RE, it analyses and discuss the most common techniques that have been used for the repair and conservation of these particular structures.