Prefabrication by off-site manufacturing leads to a reduced overall construction schedule, improved quality, and reduced resource wastage. Modular building is therefore increasingly popular and promoted. With the recent promotion a number of relevant studies have been completed, however, a review of the design, construction, and performance of modular buildings under different loading conditions is lacking. This paper presents a state-of-the-art review of modular building structures. First, structural forms and construction materials are presented as a brief introduction to the modular structures. Modular building is shown to refer not to a single structure type, but a variety of structural systems and materials. These modular structures might perform differently to similar traditional structures and the structural performance is highly dependent on interand intra-module connections. The structural response of modules to different hazards is then considered, followed by the current design practice and methodology. As a currently developing area there is great potential for innovation in modular structures and several key research areas are identified for further work.