IntroductionAlkene metathesis is well established as a valuable synthetic tool in organic chemistry, and has proven to be a unique technique for the construction of complex structures in a rapid and effective way [1]. Since all metathesis transformations (except diyne metathesis) can be promoted by the same carbene catalysts, it is possible to combine them in a sequential way and enable a metathesis cascade in one pot. A domino reaction has been defined as ''a process involving two or more bond-forming transformations which take place under the same reaction conditions without additional reagents and catalysts, and in which the subsequent reactions result as a consequence of the functionality formed in the previous step'' [2]. These domino processes, also called tandem, provide a tremendous increase in molecular complexity within the use of one single catalyst in one pot. By carefully adjusting the conditions and judicious choice of the catalytic complex, it is often possible to conduct the process with excellent regio-, chemo-, diastereo-, and even enantioselectivity. Domino processes are especially attractive not only because they provide elegance to the synthetic route but also for being ecologically and economically favorable since they minimize the amount of waste, solvents, reagents, and energy compared to stepwise reactions. Much effort has been invested in developing new methodologies involving metathesis domino processes that have been successfully applied to the preparation of biologically active and naturally occurring molecules. In this chapter, a selection of synthetic approaches with ruthenium-catalyzed domino reactions that include exclusively metathesis steps will be discussed, whereby syntheses involving tandem reactions connecting a metathesis reaction with a reaction of a different type [3] or several metathesis transformations occurring independently at the same time will not be described [4]. Through this collection of natural product syntheses, we would like to highlight the high efficiency and utility of metathesis domino reactions in organic synthesis, discuss its driving forces, limits, and scope, and ultimately illustrate the enormous synthetic potential of this transformation.