a b s t r a c tWater has both advantages and disadvantages as a coolant in conceptual designs of future fusion power plants. In the United States, water has not been chosen as a fusion power core coolant for decades. Researchers in other countries continue to adopt water in their designs, in some cases as the leading or sole candidate. In this article, we summarize the technical challenges resulting from the choice of water coolant and the differences in approach and assumptions that lead to different design decisions amongst researchers in this field.