This chapter investigates the implementation of district cooling systems by exploring several research studies reported in the literature. The topics addressed include typologies and design parameters, benefits and limitations, applications of the system, and the technology readiness level. District cooling systems are generally regarded as cost-efficient and environmentally friendly solutions. One might think that district cooling is only a solution for areas with a very warm climate. However, based on the reported results of the surveyed studies, the number of operating district cooling systems has increased over the years, with the Scandinavian countries taking the lead in this market within European countries. Implementation of these systems concluded reduction in primary energy and electricity use, they also proved to be an environmentally efficient way.