In this paper, we give a comprehensive overview of the results from studies that have used the Multilingual Assessment Instrument for Narratives (MAIN) to investigate comprehension and production of narrative macrostructure (story structure) to date. We show the wide range of research in which MAIN has been used through summaries of core results from studies that investigated age effects, and studies that compared monolinguals with bilinguals, bilinguals’ two languages, and typically-developing (TD) children with children with developmental language disorder (DLD). Results from studies including factors that influence bilinguals’ narrative skills (e.g., language skills, language input) are also covered, as are those that deal with methodological aspects and more specifically, task effects, i.e., how the choice of elicitation mode (telling; retelling; model story) and story (Cat/Dog; Baby Birds/Baby Goats) influence story structure and story comprehension. As concluding remarks, we summarize the state-of-the-art of narrative research using MAIN and outline possible directions for future studies.