Information is provided on the status of geothermal direct heat utilization in the United States, with emphasis on developments from 1985 to 1990. A total of 452 sites, which include approximately 130,000 individual installations, have been identified with an annual energy use of 19.7 x 10^12 kJ. Approximately 44% of this use is due to enhanced oil recovery in four midwestem states, and 30% is due to geothermal heat pumps. Since 1985, 25 new projects, which include approximately 200 individual installations, and representing a thermal capacity of 106.7 MWt and annual energy utilization of 1.1 x 10^12 kJ, have become operational or are under construction. Earth-coupled and groundwater heat pumps, representing the largest growth sector during this period, add an additional 400 MWt and 1.2 x 10^12 kJ to these figures. Geothermal heat pumps have extended geothermal direct heat use into almost every state in the nation. Slightly over 200 direct heat geothermal wells, averaging 150 m in depth, along with approximately 30,000 heat pump wells, have been drilled for these projects. Between 20 and 25 professional man-years of effort are estimated to have been allocated to geothermal direct heat projects during each of the five years