The trans‐addition of intermetallic σ‐bonds (E–E'; E E' = Si, B, Se, P, Sn, etc.) across alkynes has emerged as an exceptionally atom‐economical means of constructing multi‐substituted alkenes, which readily transform into densely functionalized and biologically active compounds. Compared to the widely studied cis‐E–E' additions, trans‐E–E' additions remain a more challenging and underdeveloped area. In this article, recent advances in trans‐E–E' additions are summarized, encompassing various interelement compounds such as Si–Si, B–B, Si–B, P–B, Se–B, and B–Sn. We aim to provide a deeper understanding of trans‐E–E' additions and facilitate the further development of synthetic methodologies and applications of vicinally trans‐bismetallated alkenes.