The method of ecological footprint describes an area-based resource accounting tool and has been used in different regions and countries to assess sustainability. This paper reviews published studies that measure regional sustainability based on the Ecological Footprint and Stochastic Impacts by Regression on Population, Affluence & Technology methods. Literature searches in different on-line data bases using various criteria were used. Articles were categorized by the nature of each study, the degree of analysis, and the geographical location of each study. Forty-nine studies satisfied the inclusion criteria. The majority of the studies considered only environmental indicators. Two other indicators (social and economic) were rarely covered. Other issues that explain the variation in the results included methodological choices, unproductive land areas, production and imported commodities. This paper highlights the three main indicators used to measure regional sustainability as well the key issues not fully addressed in the literature.