Abstract The photovoltaic-thermal collector is one of the most interesting technology for solar energy conversion, combining electric and thermal energy production in a single device. Vapour-compression heat pump is already considered the most suitable clean technology for buildings thermal energy needs. The combination of these two technologies in an integrated ”photovoltaic-thermal solar-assisted heat pump” (PVT-SAHP) system allows reaching a high fraction of the building thermal needs covered by renewable energy sources and to improve the performances of both the photovoltaic-thermal collector and the heat pump. The first is cooled down increasing its energy conversion efficiency, while providing low-temperature thermal energy to the second, which benefits from a higher evaporation temperature. The review study presents the state-of-art of photovoltaic-thermal solar-assisted heat pump systems intended to cover thermal energy needs in buildings, with a particular focus on the integration methodologies, the possible configurations, the use of different sources and the design of sub-system components. These issues are addressed by much scientific research, to improve the reliability and applicability of this technology, as an option for the building decarbonization. This study aims to present PVT-SAHP systems in an organic and critical way to propose a useful tool for future research developments. More in detail, the work highlights the fact that the integration of photovoltaic-thermal collectors as evaporator of the heat pump in direct-expansion systems allows the highest heat recovery and performances. However, the distinction of the two circuits lead to more reliable, flexible and robust systems, especially when combined with a second heat source, being able to cover both heating and cooling needs. The implementation of real-time control strategy, as well as the continuous development of the compressor and refrigerant industries is positively influencing this technology, which is receiving more and more attention from scientific research as a suitable solution for nearly zero energy buildings.