The mantle plume concept is currently being challenged as an explanation for North Atlantic Igneous Province formation. Alternative models have been suggested, including delamination, meteorite impact, small-scale rift-related convection, and chemical mantle heterogeneities. We review available datasets on uplift, strain localization, age and chemistry of igneous material, and tomography for the North Atlantic Igneous Province, and compare them with predictions from the mantle plume and alternative models. The mantle plume concept is quite successful in explaining formation of the NAIP, but unexplained aspects remain. Delamination and impact models are currently not supported. Rift-related small-scale convection models appear to be able to explain volcanic rifted margin volcanism well. However, the most important problem that non-plume models need to overcome is the continuing, long-lived melt anomaly extending via the Greenland-Faeroe Ridges to Iceland. Mantle heterogeneities, resulting from an ancient subducted slab, are included in plate tectonic models to explain the continuing melt production as an alternative to the mantle plume model, but there are still uncertainties related to this idea that need to be solved.