This chapter deals with power systems reliability including technical, economical, and decisional aspects. Knowing that almost 90% of failures occur in the distribution systems, great interest was dedicated to this part of the system, and the first work was oriented to reliability indices defined as objectives to attempt and as performance measures in the electricity market. Some works deal with the managers' behavior, and the customers reactions are modeled using economic criteria in uncertain future and inspired from game theory. When studying components, degradation models were introduced and combined with the effects of socks to study the reliability changing during system operation. In some works, the correlation between maintenance policies and reliability aspects was highlighted. In a recent work, considering the importance of new technologies integration and renewable energy insertion to power systems, it was revealed that reliability aspects and energy sustainability are two fundamental issues of progress in a given society.