Since the 19th century, the study of shell middens has played an important role in archaeological research. Shell midden and broader coastal archaeology have transformed our understanding of human relationships with aquatic habitats, demonstrating the importance of marine environments to human evolution and ecology, the colonization of islands and establishment of maritime trade networks, changing social and political dynamics, and a variety of other issues. During the past two decades, shell midden research has greatly increased, marking an exciting time for new discoveries and heightened collaboration with Indigenous communities. Several key research trends in shell midden archaeology during the past 10–15 years include research on site distribution and temporality, underwater archaeology, historical ecology, terraforming, landscape legacies, and community collaboration. These research trends demonstrate the ways in which shell midden archaeologists are shaping our understanding of the human past and environmental change around the world.