Abstract Linoleic acid (LA), an essential n-6 polyunsaturated fatty acid, exerts wide-ranging physiological functions as both a structural lipid and a bioactive precursor. Incorporated into phospholipids, LA maintains membrane fluidity, lipid raft composition, and transmembrane signaling. Through conversion to arachidonic acid and eicosanoids, it regulates inflammatory and immune pathways, yet excessive intake can drive pro-inflammatory states by shifting the n-6/n-3 balance. LA also plays a central role in epidermal barrier integrity via acyl-ceramides, influences hepatic lipoprotein metabolism, and modulates adipocyte function through PPARγ and SREBP-1c signaling. In the nervous system, LA supports arachidonic acid-dependent synaptic plasticity and neurodevelopment, while in reproduction it contributes to prostaglandin-mediated ovulation and sperm membrane stability. Although moderate intake improves cardiovascular and lipid profiles, excessive dietary LA has been associated with obesity, insulin resistance, hepatic steatosis, and chronic low-grade inflammation. Maintaining an optimal n-6/n-3 ratio (2-4:1) is thus critical, ensuring synergistic competition between LA and alpha-linolenic acid (ALA) for desaturase enzymes and balancing pro- versus anti-inflammatory lipid mediators. Collectively, LA is indispensable for structural, metabolic, and regulatory homeostasis, yet its health impact is strongly dosage- and context-dependent.