Tourists, hikers, mountaineers, locals and volcanologists frequently visit and reside on and around active volcanoes, where ballistic projectiles are a lethal hazard. The projectiles of lava or solid rock, ranging from a few centimetres to several metres in diameter, are erupted with high kinetic, and sometimes thermal, energy. Impacts from projectiles are amongst the most frequent causes of fatal volcanic incidents and the cause of hundreds of thousands of dollars of damage to buildings, infrastructure and property worldwide. Despite this, the assessment of risk and communication of ballistic hazard has received surprisingly little study. Here, we review the research to date on ballistic distributions, impacts, hazard and risk assessments and maps, and methods of communicating and managing ballistic risk including how these change with a changing risk environment. The review suggests future improvements to the communication and management of ballistic hazard.