This study aims to review and provide an up to date international life cycle thinking literature with particular emphasis on life cycle assessment (LCA), applied to Molten Carbonate Fuel Cells (MCFCs), a technology forcefully entering the field of decentralized heat and power generation. Critical environmental issues, comparison of results between studies and improvement strategies are analyzed and highlighted. The findings stress that MCFC environmental performance is heavily influenced by the current use of non-renewable energy and high material demand of rare minerals which generate high environmental burdens in the manufacturing stage, thereby confirming the prominent role of these processes in a comprehensive LCA study. The comparison of operational phases highlights that MCFCs are robust and able to compete with other mature technologies contributing substantially to airborne emissions reduction and promoting a switch to renewable fuels, however, further progress and market competitiveness urges adoption of an eco-efficiency philosophy to forge the link between environmental and economic concerns. Adopting a well-organized systematic research driven by life cycle models and eco-efficiency principles stakeholders will glean valuable information to make well balanced decisions for improving performance towards the concept 'producing more quality with less resources' and accelerate market penetration of the technology. (C) 2015 Elsevier B.V. All rights reserved.