There are four long-term exploited geothermal fields in Kamchatka: one steam-water field Pauzhetka (south of Kamchatka peninsula) and three hot water fields: Paratunka (near by town of Petropavlovsk-Kamchatsky) and Esso and Anavgay (center of peninsula). Pauzhetka and Paratunka fields are exploited during almost 28 years. Esso and Anavgay fields are exploited during 25 years. In Pauzhetka 11 MWe geothermal power plant work and on the other fields thermal energy of hot water is directly used. Kamchatka region satisfies energetic demands mainly by organic imported fuels. At the same time electricity produced by geothermal fluids constitutes less than 2 per cent of total region electricity production, and thermal energy produced by geothermal fluids constitutes less than 3 per cent of total region thermal energy production. The main reasons of small geothermal portion in the energy production balance of Kamchatka are briefly discussed. The geothermal development reserves and perspectives of geothermal energy use increase in Kamchatka are outlined.