This article reviews the rapidly developing state-of-the-art literature available on the subject of the recently developed limestone calcined clay cement (LC3). An introduction to the background leading to the development of LC3 is first discussed. The chemistry of LC3 hydration and its production are detailed. The influence of the properties of the raw materials and production conditions are discussed. The mixture design of concrete using LC3 and the mechanical and durability properties of LC3 cement and concrete are then compared with other cements. At the end the economic and environmental aspects of the production and use of LC3 are discussed. The paper ends with suggestions on subjects on which further research is required.