The present review covers various advances in the field of metal‐catalyzed coupling of N‐tosylhydrazones with compounds containing C‐H/heteroatom‐H bonds, including transition metal catalysts i.e., Pd, Rh, Cu, Ag, Ni and Co and resulting alkylated, alkenylated, alkynylated, allenylated, annulated and many other products. A metal carbene migratory insertion process play a key role in carbon‐carbon single bond (C‐C) and carbon‐carbon double bond (C=C) formation and undergoes variety of cascade reactions to synthesize a wide scope of pharmaceutically and medicinally valuable scaffoldings.