Aiming to remain competitive, companies from diverse industries are paying more attention to Industry 4.0 concept and its benefits. Maintenance is seen as a specific area of action to successfully sustain a competitive leverage, and its fusion with Industry 4.0 is perceived to revolutionize the whole maintenance concept. Maintenance 4.0 emerges as a subset of Industry 4.0 in the form of self-learning and smart system that predicts failures, makes diagnoses, and establishes maintenance actions. This chapter presents a systematic literature review (SLR) on Maintenance 4.0, with the aim of outlining the current achievements as well as limitations of maintenance meeting Industry 4.0 demands. The analysis included 90 papers selected as being the most suitable to reach the proposed goal. A state of the art on Maintenance 4.0 is performed, followed by an analysis ambitioning the delineation of what future holds on this topic.