Small Darrieus hydrokinetic turbines with fixed pitch blades typically suffer from poor starting torque, low efficiency and shaking due to large fluctuations in both radial and tangential force with azimuth angle. Efficiency improves as size increases, since adequate blade chord Reynolds numbers can be maintained with low solidity. Shaking can be eliminated by using helical blades, or reduced by using multiple blades. Starting torque can be marginally improved by the use of cambered blade profiles but may still be inadequate to overcome drive train friction for self-starting. Variable pitch can generate high starting torque, high efficiency and reduced shaking but active pitch control systems add considerably to complexity and cost, while passive systems must have effective pitch control to achieve higher efficiency than fixed pitch systems. (C) 2010 Elsevier Ltd. All rights reserved.