Underground storage organs (USOs) have long featured prominently in human diets. They are reliable year-round resources, especially valuable in seasonal climates. We review a significant but scattered literature and oral recounts of USOs utilised by Noongar people of the Southwest Australian Floristic Region (SWAFR). USOs are important to First Nations cultures in other geophyte-rich regions with Mediterranean climate, with specialist knowledge employed, and productive parts of the landscape targeted for harvest, with likely ecological interactions and consequences.