Cholangiopathies, such as primary sclerosing cholangitis, biliary atresia, and cholangiocarcinoma, have limited experimental models. Not only cholangiocytes but also other hepatic cells including hepatic stellate cells and macrophages are involved in the pathophysiology of cholangiopathies, and these hepatic cells orchestrate the coordinated response against diseased conditions. Classic two-dimensional monolayer cell cultures do not resemble intercellular cell-to-cell interaction and communication; however, three-dimensional cell culture systems, such as organoids and spheroids, can mimic cellular interaction and architecture between hepatic cells. Previous studies have demonstrated the generation of hepatic or biliary organoids/spheroids using various cell sources including pluripotent stem cells, hepatic progenitor cells, primary cells from liver biopsies, and immortalized cell lines. Gene manipulation, such as transfection and transduction can be performed in organoids, and established organoids have functional characteristics which can be suitable for drug screening. This review summarizes current methodologies for organoid/spheroid formation and a potential for three-dimensional hepatic cell cultures as in vitro models of cholangiopathies. (Hepatology 2021;74:491-502).I n vitro cell culture models are key in liver research to supplement the lack of human samples or in vivo animal models. (1) Importantly, the human body consists of three-dimensional (3D) cellular interactions and structures with noncellular components, and classic two-dimensional (2D) monolayer culture models do not mimic this interaction between cells and components or matrices. In the past decade, techniques of 3D cell culture systems, such as organoids and spheroids, have been developed to mimic hepatic structure and cellular interaction in vitro. (2) These 3D cell culture models have more accurate physiological environmental conditions resembling in vivo complex architecture, microenvironment, and cellular functions and may be more appropriate for biomedical studies than monolayer models. (2,3) The definitions of the terms "organoid" and "spheroid" can vary or overlap depending on previous studies. Organoids are generally recognized as an in vitro "miniorgan" or complex tissue-like structure with multiple cell types. (3) Spheroids are often referred to as "simple cell aggregates" with a single cell type. Organoids are generated from (1) tissue-derived primary cells, (2) progenitors, (3) embryonic stem cells (ESCs), or (4) induced pluripotent stem cells (iPSCs), which can selfassemble and differentiate into organ-like cell clusters