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With escalating global energy demands and rising ambient temperatures driven by climate change, active heating, ventilation, and air-conditioning (HVAC) systems constitute a massive fraction of primary electrical consumption and direct greenhouse gas emissions via high Global Warming Potential (GWP) chemical refrigerants (e.g., HFCs like R-32). This paper presents a comprehensive research study and engineering evaluation of Earth Tube Heat Exchangers (ETHE)—also known as Earth-Air Heat Exchangers (EAHE). ETHE systems exploit the substantial thermal inertia and passive geothermal storage capacity of the ground at depths of 2 to 4 meters, where soil temperatures remain quasi-steady across diurnal and seasonal cycles. This study systematically analyzes open-loop and closed-loop ETHE architectures, component selection (specifically PVC vs. metallic ducting and centrifugal air blowers), installation methodologies, key governing thermophysical parameters, and operational limitations. The findings establish that ETHE systems provide a highly viable, zero-refrigerant, and low-energy thermal pre-conditioning alternative capable of drastically lowering building carbon footprints across residential, institutional, and agricultural sectors.