In recent decades, the sustainable development of the planet has been negatively affected by a number of factors, including the construction industry. The construction industry includes, among other things, the highly topical energy reconstruction of existing prefabricated residential housing, which is implemented to improve their condition from a thermal engineering and energy perspective. Composite materials, known as external thermal insulation composite systems (ETICSs), have come to the fore, bringing a number of undeniable benefits to society. After more than 20 years of experience, it turns out that in addition to the benefits, ETICSs also bring new research challenges to the discussion, which are related to the issue of the biocorrosion of the external envelope of ETICSs, and also to the issue of the indoor microclimate. Based on the literature review and case studies, we aim to show that ecologically friendly building materials require a multidisciplinary approach. At the same time, we want to contribute to the discussion of whether the diversity of microorganisms on ETICS composites is a potential source of health risks and whether the transport of microorganisms to the indoor environment can be ruled out through natural ventilation from the outdoor environment to the interior.