Hydro power utilizing low head and ultra-low head is an area that can be harnessed as a potential source of renewable energy. Technologies proposed to harness this area were a subject of scrutiny as the flow dynamics and economics of the project were quite challenging. Various hydro turbine technologies developed to cater to this area are ample proof of the research and development activities that are rampant in this field worldwide. Also, these technologies were highly capital-intensive and technology-driven. This area can now be economically developed using ingenious hydropower screw technology. With a footfall of more than 25 units installed and commissioned in India alone by both government and private developers, hydropower screw technology has craved a market for itself. The paper discusses the need for wide-spread adoption of hydropower screws for low-head and ultra-low-head hydropower development in India. Also, salient features of the hydropower screw installed in India at various locations and the results of the performance guarantee test carried out at different project locations are discussed in detail.