Axial flow turbines are crucial in energy production and propulsion across diverse applications. As global energy needs rise, optimizing turbine efficiency is paramount. This review delves into the aerodynamic design of turbine blades, specifically examining blade profile modifications in both stator and rotor assemblies of state-of-the-art models proposed in the studies from 2019 to 2024. The focus is on mitigating performance discrepancies between idealized simulations and real-world applications, which present significant challenges such as inconsistencies in computational fluid dynamics (CFD) predictions and manufacturing constraints. Key findings from this review highlight a potential efficiency gain of 1%–3% through optimal blade designs that reduce incidence losses, secondary flows, and tip vortex formation. Advanced modeling techniques, including high-fidelity, multi-objective optimization with machine learning, are evolving to better predict and enhance turbine performance. However, gaps remain in system-level integration and the limited experimental data restricts comprehensive validation of these new designs. The insights from this review will aid the research community by identifying critical areas for future investigation, such as integrating blade aerodynamics with heat transfer and structural mechanics. Further, it emphasizes the need for exploring combinations of passive and active flow control strategies to fully harness the benefits of blade profile enhancements. These efforts are crucial for achieving substantial improvements in turbine efficiency, which are essential for meeting the growing demands for sustainable and efficient energy production.