Aphantasia, a spectrum of inabilities creating and perceiving mental images, is becoming more of a focus in continued research to better understand functions of sensory perception and imagination. Current research on aphantasia is still in an era of exploration to find its underlying neural mechanisms, comorbidities and comparing levels of visual imagery to other cognitive functions. Through a systematic review, this article explores the most influential developments in aphantasia research. The search included 3 databases-PsycINFO, PubMed, and Web of Science. After a rigorous selection process, 52 studies are included in this review. The findings include new research themes across different studies such as relationships between aphantasia and diminished episodic and autobiographical memory, comorbidities including autism, attention, emotions, and neurobiological differences. By integrating diverse perspectives, this review aims to contribute to a deeper understanding of the cognitive processes underlying mental imagery and offers implications for further development in aphantasia research.