Hepatocellular carcinoma (HCC) is responsible for the second-leading cancer-related death toll worldwide. Although sorafenib and levantinib as frontline therapy and regorafenib, cabazantinib and ramicurimab have now been approved for second-line therapy, the therapeutic benefit is in the range of only a few months with respect to prolongation of survival. Aggressiveness of HCC is mediated by metastasis. Intrahepatic metastases and distant metastasis to the lungs, lymph nodes, bones, omentum, adrenal gland and brain have been observed. Therefore, the identification of metastasis-related new targets and treatment modalities is of paramount importance. In this review, we focus on metastasis-related microRNAs (miRs) as therapeutic targets for HCC. We describe miRs which mediate or repress HCC metastasis in mouse xenograft models. We discuss 18 metastasis-promoting miRs and 35 metastasis-inhibiting miRs according to the criteria as outlined. Six of the metastasispromoting miRs (miR-29a,-219-5p,-331-3p, 425-5p,-487a and-1247-3p) are associated with unfavourable clinical prognosis. Another set of six down-regulated miRs (miR-101,-129-3p,-137,-149,-503, and-630) correlate with a worse clinical prognosis. We discuss the corresponding metastasisrelated targets as well as their potential as therapeutic modalities for treatment of HCC-related metastasis. A subset of up-regulated miRs-29a,-219-5p and-425-5p and downregulated miRs-129-3p and-630 were evaluated in orthotopic metastasis-related models which are suitable to mimic HCC-related metastasis. Those miRNAs may represent prioritized targets emerging from our survey. Hepatocellular carcinoma (HCC) is the second-leading cause of cancer-related death worldwide (1). In the next couple of years, an annual incidence of one million cases is expected (1). Risk factors for HCC are non-alcohol steatohepatitis, hepatitis B and C virus (HBV/HCV), alcohol and aflatoxin (2). In Asia and Africa, 60% of HCC cases are associated with HBV, 20% are related to HCV (2). Patients with early-and intermediatestage HCC are treated with locoreginal therapies, those with advanced disease receive systemic treatment (3). Sorafenib, a multikinase tyrosine kinase inhibitor was the only approved agent between 2007 and 2016 (4). This agent gives rise to only marginal therapeutic benefit. Recently, therapeutic benefit was shown with multikinase inhibitors levantinib as frontline therapy, and regorafenib, cabazantinib and ramucirumab, a monoclonal antibody directed against vascular endothelial growth factor receptor 2, as second-line therapies (4). In addition, nivolumab, a monoclonal antibody directed against programmed cell death protein 1 (PD1) has been granted accelerated approval by the Food and Drug Administration for treatment of HCC and other checkpoint inhibitors are undergoing phase III clinical trials for this indication (5). Unsupervised clustering has revealed three subtypes of HCC based on transcriptional profiling (6) and immune phenotyping with respect to lymphocyte infiltration has discov...