This paper presents a comprehensive review of recent advances in ultra-high performance concrete (UHPC). Fundamental characteristics of UHPC are elaborated with focus on its material constituents, mixing, and formulation procedures. Use of state-of-the-art materials such as carbon nanotubes or nano-silica is discussed as well, whose inclusion may enhance the performance of UHPC. The review evaluates supplementary treatment methods (e.g., pressuring curing) and identifies applicable standard test methods for determining the properties and behavior of UHPC. Site implementation is provided to link laboratory research with full-scale application. Research needs are suggested to further develop UHPC technologies from technical and socio-economical perspectives.