In less than a decade the levels of performance of microbial fuel cells (MFCs) in terms of current output, voltage, and power density have grown tremendously according to steady exponential trends. Achievements occurred over the past 2–3 years have been particularly impressive. This is due partly to a better understanding of the biological aspects of this multidisciplinary technology, but also to systematic work undertaken by several research groups worldwide aimed at improving and optimizing aspects related to materials and system configuration. Aim of this review is to outline the current perspective about MFCs by focusing on the recent major advances in the areas of materials and engineering. MFCs are promising devices to address sustainability concerns both in terrestrial and space applications.