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Lean Construction has become a key strategy for improving productivity, reducing waste, and increasing efficiency in civil engineering projects. In parallel, advances in digital technologies have transformed the way engineering design and project planning processes are conceived and managed. However, there remains a limited systematic understanding of how emerging technologies support engineering design practices and influence the implementation and performance of Lean Construction in diverse civil engineering scenarios. This study presents a systematic literature review of 70 peer-reviewed articles published between 2019 and 2025, following the PRISMA 2020 guidelines. The selected studies were examined using a structured classification framework consisting of three analytical categories: Technologies and Tools, Construction Methods and Sustainability, and Production Philosophies and Management. From an engineering design perspective, this framework allows the identification of technological trends, design-support tools, and management strategies that influence the planning, modeling, and optimization of construction processes. The results show that digital technologies, such as Building Information Modeling (BIM), automation systems, Artificial Intelligence, and Industry 4.0 tools, play a significant role in supporting engineering design activities by improving project visualization, coordination, and decision-making during the design and planning stages. These technologies contribute to more integrated design processes aligned with Lean Construction principles. At the same time, the analysis reveals that the adoption of Lean Construction technologies varies depending on project characteristics, levels of digital maturity, and regional industry conditions. The main barriers identified in the literature include interoperability limitations, insufficient workforce training, and organizational resistance to technological change. Overall, the review provides a structured synthesis of recent research trends and highlights the technological and managerial factors that influence the successful integration of Lean Construction with engineering design practices in civil engineering. The findings contribute to bridging the gap between technological innovation, design methodologies, and Lean Construction implementation, offering insights for both researchers and practitioners seeking to improve efficiency, sustainability, and design performance in construction projects.