The climate change–built environment nexus is complex and intertwined. Recognizing the rising air temperatures and solar radiations owing to climate-induced global warming, it is critical to manage the increased building energy and cooling loads in the Middle East Gulf states’ hot desert climates (Bwh). One of the top climate priorities is to promote climate resilience by reducing risks and enhancing adaptation options. This study aims to systematically review the existing literature to document building energy performances in and the associated adaptation measures of the Middle East Gulf states, regarding the implications of climate change. It is accomplished by answering the following questions: ‘How well do we understand the effects of climate change on building energy use in hot urban deserts?’ and ‘What are the most appropriate adaptation strategies to reduce energy use in hot urban deserts?’. Using the Preferred Reporting Items for Systematic review and Meta-Analysis protocols (PRISMA), 17 studies on the influence of present and future weather scenarios on building performance are examined, considering variations in typology, methods, and input variables. Finally, the paper identifies the preferred methods and input variables for modelling building energy performance under predicted climatic changes. Passive design considerations are considered highly effective in mitigating and adapting to climate change implications. Thermal insulation and efficient window glazing are identified as the best-performing strategies, while the use of solar Photovoltaic (PV) is considered efficient in meeting the primary energy demands. The study’s findings can assist planners and designers in projecting future climatic influences on the energy usage of existing buildings.