An endotherm (from Greek ἔνδον endon "within" and θέρμη thermē "heat") is an organism that maintains its body at a metabolically favorable temperature, largely by the use of heat released by its internal bodily functions instead of relying almost purely on ambient heat. Such internally generated heat is mainly an incidental product of the animal's routine metabolism, but under conditions of excessive cold or low activity an endotherm might apply special mechanisms adapted specifically to heat production. Examples include special-function muscular exertion such as shivering, and uncoupled oxidative metabolism, such as within brown adipose tissue.

Only birds and mammals are considered truly endothermic groups of animals. However, Argentine black and white tegu, leatherback sea turtles, lamnid sharks, tuna and billfishes, cicadas, and winter moths are mesothermic. Unlike mammals and birds, some reptiles, particularly some species of python and tegu, possess seasonal reproductive endothermy in which they are endothermic only during their reproductive season.

In common parlance, endotherms are characterized as "warm-blooded". The opposite of endothermy is ectothermy, although in general, there is no absolute or clear separation between the nature of endotherms and ectotherms.

Endothermy was thought to have originated towards the end of the Permian Period. One recent study claimed the origin of endothermy within Synapsida (the mammalian lineage) was among Mammaliamorpha, a node calibrated during the Late Triassic period, about 233 million years ago. Another study instead argued that endothermy only appeared later, during the Middle Jurassic, among crown-group mammals.

Evidence for endothermy has been found in basal synapsids ("pelycosaurs"), pareiasaurs, ichthyosaurs, plesiosaurs, mosasaurs, and basal archosauromorphs. Even the earliest amniotes might have been endotherms.

Many endotherms have a larger amount of mitochondria per cell than ectotherms. This enables them to generate heat by increasing the rate at which they metabolize fats and sugars. Accordingly, to sustain their higher metabolism, endothermic animals typically require several times as much food as ectothermic animals do, and usually require a more sustained supply of metabolic fuel.

In many endothermic animals, a controlled temporary state of hypothermia conserves energy by permitting the body temperature to drop nearly to ambient levels. Such states may be brief, regular circadian cycles called torpor, or they might occur in much longer, even seasonal, cycles called hibernation. The body temperatures of many small birds (e.g. hummingbirds) and small mammals (e.g. tenrecs) fall dramatically during daily inactivity, such as nightly in diurnal animals or during the day in nocturnal animals, thus reducing the energy cost of maintaining body temperature. Less drastic intermittent reduction in body temperature also occurs in other larger endotherms; for example human metabolism also slows down during sleep, causing a drop in core temperature, commonly of the order of 1 degree Celsius. There may be other variations in temperature, usually smaller, either endogenous or in response to external circumstances or vigorous exertion, and either an increase or a drop.

The resting human body generates about two-thirds of its heat through metabolism in internal organs in the thorax and abdomen, as well as in the brain. The brain generates about 16% of the total heat produced by the body.