Defect complexes have a significant impact on the structural, electronic, optical and electrical properties of semiconductors. Several defect complexes formed by n-type and p-type atoms in Ge have been implemented for the development of improved modern microelectronic devices. However, there is no reported study on the substitutional-interstitial defect complexes formed by trivalent atoms in Ge. This paper presents a hybrid density functional theory study of the structural, electronic, formation and defect levels induced by the trivalent substitutional-interstitial (B \(_\textrm{Ge}\) B \(_\textrm{i}\) , Al \(_\textrm{Ge}\) Al \(_\textrm{i}\) , Ga \(_\textrm{Ge}\) Ga \(_\textrm{i}\) and In \(_\textrm{Ge}\) In \(_\textrm{i}\) ) defect complexes in Ge. The formation energy results showed that the trivalent substitutional-interstitial defect complexes in Ge were formed with relatively low energy. Ga \(_\textrm{Ge}\) Ga \(_\textrm{i}\) under equilibrium conditions is the most energetically favourable, with a formation energy of 3.95 eV. All trivalent atoms are bound with their respective substitutional and interstitial atoms without dissociation. With respect to their ability to form as a defect cluster, the In \(_\textrm{Ge}\) In \(_\textrm{i}\) is the most stable defect complex, with a binding energy of 2.91 eV. Except for the Ga \(_\textrm{Ge}\) Ga \(_\textrm{i}\) , all studied defect complexes are electrically active. The B \(_\textrm{Ge}\) B \(_\textrm{i}\) and Al \(_\textrm{Ge}\) Al \(_\textrm{i}\) induced a single acceptor level, while the In \(_\textrm{Ge}\) In \(_\textrm{i}\) induced active donor levels. The acceptor defect level induced by the B \(_\textrm{Ge}\) B \(_\textrm{i}\) is deep, and that of the Al \(_\textrm{Ge}\) Al \(_\textrm{i}\) is shallow, close to the conduction band. The results of this study are important, as they provide theoretical insights into the experimental characterization of the substitutional-interstitial defect complexes formed by trivalent impurities in germanium, which could help to improve Ge-based microelectronic devices.