Understanding past environmental change through high-resolution palaeoenvironmental proxy reconstructions provides crucial baselines for understanding global environmental changes, particularly during the Quaternary Period. Such data are crucial for testing and refining climate models to enable better adaptations to current and future climate changes. Giant clams (Tridacnidae spp.), the largest bivalve mollusc in the Indo-Pacific region, possess distinctive features such as long lifespan, rapid growth, high-resolution growth patterns, wide distribution habitat, and stable shell geochemical composition. These attributes make giant clams a promising and dependable novel palaeoenvironmental archive, offering numerous available geochemical proxies. In this review, we examined preview studies on giant clams conducted for sclerochronology research, spanning publications from 1986 to 2023. The previous studies have proven that isotopic and trace elements proxies of the giant clam, including δ18O, δ13C, Sr/Ca, Mg/Ca, Ba/Ca, and Fe/Ca, can faithfully reconstruct palaeoclimate records including sea surface temperature, dissolved inorganic carbon, insolation, extreme weather events and primary productivity at ultra-high resolution. These proxies have been successfully employed for palaeoclimatic and palaeoenvironmental reconstructions from the Miocene to the present across a range of locations from South Japan to Northern Australia to the Red Sea. These studies have illuminated changes in interannual climate cycles, climate variation, and human migrations over thousands to millions of years. They have generated quantitative records that are valuable for testing and refining numerical climate models, understanding the relationship between past climate cycles and future climate variability, and providing insights into human-environment interactions over time. In the end, the review also addresses the challenges and provided recommendations for future research, highlighting persisting gaps in understanding the influence of microstructure on the shell, age dating of fossil samples, uncertainty in proxies, the need for tank experiments, and access to ultra-high resolution palaeoenvironmental records.