Cultural routes are a composite set of heritage, referring to any ancient routes of human communication. As one of the key products of cultural tourism, they providing visitors with a rich cultural experience across regions. We systematically review reports and studies related to the tourism development of 38 cultural routes cases around the world, with a special focus on their distribution, typology, planning patterns and tools for cultural tourism. We summarized eight tools, there are some differences in how often these eight tools are used by the different types of routes and different planning patterns for routes tourism. The study also made an evaluation system based on the conservation principles of cultural routes to find out how different tools of tourism affect the conservation and development of the historical region. It was found that although many efforts have been made by tourism decision-makers to protect and develop cultural routes there are still many problems and challenges in the process of tourism development along cultural routes. We close the paper by making a few recommendations for decision makers and researchers concerning future routes’ tourism planning and study.