Since the 1970s oil crisis, Pinch Analysis (PA) has been employed as a heat recovery guidance tool to address the need for energy conservation. With the continuous improvement of the theoretical system and the ongoing innovation of the methodology, PA has not only been deepened and developed within the energy domain but has also been extended to other important problem domains, enabling optimal resource utilisation and becoming an indispensable analytical methodology for the integration of process industries. This review builds upon a critical review published in 2018 and summarises the recent advancements (2018 to the present) of PA in the domains of process modelling and energy optimisation, energy system process integration, resource network optimisation, freshwater integration, carbon emissions integration, plastics management networks, and energy-water-carbon nexus. It also summarises the tools used by PA methods and looks at the future development of PA in various fields. The main findings of this review are: 1) PA has evolved in recent years towards multi-methodology, multi-dimensionality and multi-objectives, as well as a greater focus on dynamic adaptability when dealing with complex application scenarios; and 2) according to the reported data of works reviewed in this paper, a diversified and effective tool chain and specialised tool (e.g. Aspen, Water Pinch, CEPA) can achieve up to 75% savings in energy consumption and resources in specific industrial cases.