Vortex beams (VBs) are structured beams with helical wavefronts carrying orbital angular momentum (OAM) and they have been widely used in lots of domains, such as optical data-transmission, optical tweezer, quantum entanglement, and super-resolution imaging. The ability to generate vortex beams with favorable performance is of great significance for these advanced applications. Compared with extra-cavity schemes, such as spatial light modulation, mode conversion, and others which transform other modes into vortex modes, solid-state vortex lasers can output vortex beams directly and show advantages including a compact structure, high robustness, easy to integrate, and low cost. In this review, we summarize intra-cavity generation approaches to vortex beams in solid-state lasers. Our work on 1.6μm eye-safe vector vortex lasers is also introduced.