Forests are critical in regulation of carbon and water cycles and mitigation of climate change. Forest water-use efficiency (WUE) refers to the ratio of biomass produced (or assimilated carbon) to the amount of water used by forests, which indicates how effectively a forest utilizes water to achieve productivity. Climate change and its impact on forest WUE are important research directions that explore the complex relationship between global environmental change and the forest ecosystem dynamics. The global intensification of climate change underscores the need for an inclusive understanding of forest water use and makes it crucial to know how forests balance carbon and water resources, which is essential for effective forest management and predicting ecosystem responses to climate change. This study aims to comprehensively and objectively analyze current research trends and future directions related to the response of forest WUE to climate change. Our database included 1755 research papers from the Web of Science Core Collection, spanning from 2000 to 2023. Our analysis included cooperative networks of countries, authors, and institutions, as well as the most frequently cited journals and articles, keyword co-occurrence analysis, and a keyword burst analysis. The results showed that the top cooperative country, author, and institution is PR China, Prof. Dr. Jesús Julio Camarero from the Consejo Superior de Investigaciones Científicas (CSIC), and the Chinese Academy of Sciences, respectively. The leading journal in this field is “Global Change Biology”. Critical research hot topics include gas exchange, modeling, altitudinal gradients, tree growth dynamics, net carbon exchange, global change drivers, tropical forests, nitrogen stoichiometry, Northern China plains, and extreme drought conditions. Frontier topics that have emerged in recent years include studies on China’s Loess Plateau, stable isotopes, radial growth, gross primary productivity, and Scots pine. The insights from this analysis are vital for researchers, decision-makers, and forestry professionals aiming to mitigate the impacts of climate change on forest WUE and overall ecosystem health and resilience. This study emphasizes the importance of sustained research efforts and global research collaboration in addressing the intricate challenges posed by climate change to forest ecosystems.