We include 208 references with this Perspective to describe various helical polymers, particularly polyisocyanates. Interest in polyisocyanates with helical properties is driven by various synthesis methods. Furthermore, the living characteristics of the polymerization of isocyanate have been studied with kinetics. The rigid-rod structures of polyisocyanates generate specific morphologies of block copolymers. There have also been chiral studies of polyisocyanates, which are synthesized with chiral monomers, initiators, and terminators. Hydrophilic polyisocyanates are presented through random copolymerization of allyl and alkyl isocyanates and the subsequent click reaction. Additionally, random, gradient, block, and multiblock polyisocyanates are explained by using furfuryl, allyl, and alkyl isocyanates with different reactivities. Recent works on alternating polyisocyanates are also presented. The perspective on the amphiphilic peptide-mimicking multiblock and alternating polyisocyanates is described as future work of sequence control of polyisocyanates with good water solubility and degradable properties.