Pursuing agricultural intensification to raise productivity has brought challenges such as involvement of high capitals, often in the form of loans, environmental damage, and ecosystem disruption. These challenges increase risks in agricultural practice that require good management and control. This increases the need for real-time, non-destructive monitoring technologies that can improve crop productivity, enhance land use, and facilitate environmentally friendly agriculture. Due to its unique capacity to non-destructively examine plants’ internal biological and structural properties, ultrasound has emerged as a promising non-invasive technique providing insights often unattainable with traditional optical, spectral, or chemical sensors. This review aims to provide an up-to-date state of the art in ultrasound-based monitoring applications within major agricultural areas: soil characterization, seed quality control, plant health, stress monitoring, pests and diseases detection, and fruit ripening assessment. This review explores how contact and non-contact ultrasound measurements are scalable and versatile, bridging the gaps between laboratory and field-deployed systems. Integrating ultrasound monitoring with artificial intelligence and Internet of Things (IOT) frameworks further enhances modality accuracy and can detect stress, diseases, and other physiological changes in crops sooner. Overcoming challenges such as environmental acoustic noise will require further work. Still, recent advances such as improved signal filtering algorithms, new transducer designs, better field sensitivity, and broader collaboration to standardize ultrasound measurement protocols indicate a growing trend toward increased on-field use of ultrasound. Finally, the review also discusses the current limitations and future research directions of how ultrasound-based monitoring can catalyse a new paradigm of sustainable data-driven agriculture that meets food security needs.