Threads and processes are abstractions of execution units that differ in how they share resources. The key differences are that threads share memory and file descriptors by default, while processes do not. Underneath, both are created using the clone() system call but with different flags. Whether to use threads or processes depends on the specific workload and how system calls like malloc(), read/write, and setreuid() are implemented at the OS level. Understanding these implementation details is important for choosing the best approach.