This paper reviews the use of ceramic foams as structured catalyst supports. They are open-cell ceramic structures that may be fabricated in a variety of shapes from a wide range of materials, and they exhibit very high porosities with good interconnectivity. These characteristics result in a lower pressure drop than that observed with packed beds and high convection in the tortuous megapores, which, in turn, enhances mass and heat transfer. They are easily coated with high-surface-area catalytic components, using well-established techniques. Research in the past decade has produced a large amount of fundamental information that elucidates the desirable properties of ceramic foams. In addition, many applications involving important reactions have appeared in the open and patent literature, especially for catalytic processes that suffer certain limitations, such as those encountered in relieving high pressure drop with low-contact-time reactions at high space velocities or with narrow reactors in heat-transfer-limited systems and in controlling axial and radial temperature profiles in highly exothermic and endothermic reactions. These important contributions are discussed, and the advantages and shortcomings of using ceramic foams as structured catalyst supports to benefit commercial operations are considered.