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Climate stress is reshaping the operational conditions under which agricultural decisions are made. Drought, heat, flooding, salinity, and increasingly variable weather patterns intensify uncertainty around irrigation, fertilisation, pest management, crop selection, and yield planning. Precision agriculture has therefore become a central domain in which artificial intelligence is expected to support adaptive, data-driven decision-making. This systematic review examines how artificial intelligence decision models are used in precision agriculture under climate stress. The review focuses on three connected dimensions: the model families used to support decisions, the data sources on which these models depend, and the sustainability outcomes that are reported. The objective is to clarify whether current evidence supports the claim that artificial intelligence can deliver more resilient and sustainable agricultural management. The review synthesises peer-reviewed journal articles published. The study selection followed a PRISMA-oriented logic, using predefined search strings, inclusion criteria, and screening stages to identify relevant work on machine learning, deep learning, remote sensing, sensor-based agriculture, irrigation optimisation, yield prediction, crop disease detection, and sustainability assessment. No new empirical field data were generated. The evidence base shows rapid expansion in machine learning and deep learning applications, especially for yield prediction, irrigation management, crop monitoring, plant disease detection, and smart farming decision support. Satellite imagery, UAV data, IoT sensors, weather variables, soil information, and farm-management records appear as the dominant data sources. However, the review also identifies uneven attention to climate stress conditions, limited integration of long-term climate projections, and inconsistent reporting of sustainability outcomes.The review concludes that artificial intelligence for precision agriculture under climate stress is technically promising but methodologically fragmented. Most studies emphasise model accuracy, yield improvement, or input optimisation, while fewer evaluate environmental trade-offs, social impacts, farmer livelihoods, or long-term resilience. A more rigorous, transparent, and sustainability-centred research agenda is needed to move the field beyond predictive performance toward climate-resilient agricultural decision systems.