This paper reviews the historical evolution, cultural significance, and contemporary relevance of appliqué work embroidery in India. It explores the influence of the Mughal era, which brought Persian-inspired designs and intricate floral patterns into the appliqué collection. Additionally, it attempts to showcase the diverse regional styles and techniques that have developed across the country, such as Pipili appliqué from Odisha, Phool Patti Ka Kaam from Uttar Pradesh, and Katwa work from Gujarat. By tracing the craft's origins from utilitarian purposes to a sophisticated decorative art form, the paper highlights its integral role in religious ceremonies, cultural traditions, and social identity. The paper also examines contemporary applications of appliqué in fashion, interior design, and artistic collaborations, emphasizing how NGOs and modern designers have contributed to preserving and revitalizing this craft. By addressing the challenges faced by artisans and the craft's adaptation to current trends, this review highlights the continuing relevance of appliqué as both a cultural heritage and a sustainable livelihood for artisans.