The genus Ballota, belonging to Lamiaceae family (Stachyoideae/ Lamioideae subfamily) [1,2], is, apart from the South African endemic species Ballota africana (L.) Benth., naturally distributed in the Mediterranean, the Middle East and in North Africa. Some species (e.g., Ballota nigra L. s. l.) are also present over large areas of western, central, and northern Europe, and 4 species, whose status will be discussed later, in Somalia.Ballota species are perennial herbs or small shrubs with branched and/or simple hairs, toothed and petiolate leaves, the inflorescence thyrsoid or racemoid sometimes has long and spinose bracteoles (sect. Acanthoprasium), and the calyx is mostly campanulate, purple to white.A former classification of the genus identified the occurrence of 31 species (1 = Ballota integrifolia Benth. -2 = Ballota wettsteinii Rech. pat. -3 = Ballota frutescens (L.) Woods -4 = Ballota fruticosa Baker -5 = Ballota somala Patzak -6. Ballota andreuzziana Pamp. -7 = Ballota acetabulosa (L.) Benth. -8 = Ballota undulata (Sieb, ex Fres.) Benth. -9 = Ballota pseudodictamnus (L.) Benth. -10 = Ballota damascena Boiss. -11 = Ballota hildebrandtii Vatke et Kurtz -12 = Ballota hirsuta Benth. -13 = Ballota bullata Pomel -14 = B. africana (L.) Benth. -15 = Ballota aucheri Boiss. -16 = Ballota macrodonta Boiss. et Bal. -17 = Ballota larendana Boiss. et Heldr. -18 = Ballota rotundifolia C. Koch -19 = Ballota rupestris (Biv.) Vis. -20 = Ballota macedonica Vand. -21 = Ballota kaiseri V. Täckh. -22 = Ballota antilibanotica Post -23 = Ballota cristata Davis -24 = Ballota semanica Rech. f. -25 = Ballota labillardieri Briq. -26 = Ballota saxatilis Sieb. ex J. et C. Presl -27 = Ballota stachydiformis Höchst. -28 = Ballota philistea Bomm. -29 = Ballota platylomaThe 2 genera Ballota and Otostegia, belonging to the Lamiaceae family, are closely related taxonomically and found mainly in the Mediterranean area, Middle East, and North Africa. Since ancient times, they have been largely employed in traditional medicine for their biological properties such as antimicrobial, anti-inflammatory, antispasmodic, insecticidal, anti-malaria, etc. Phytochemical investigations of Ballota and Otostegia species have revealed that diterpenoids are the main constituents of the genera. A large number of flavonoids and other metabolites were also identified. This review, covering literature from 1911 up to 2018, includes traditional uses, chemical profiles (both of volatile and nonvolatile metabolites), and biological properties of all the taxa of these 2 genera studied to date.