to direct lysis of these cells. [4] In addition, oncolytic viruses can stimulate immune responses. The most studied oncolytic viruses are Newcastle disease viruses, herpes viruses, coxsackievirus, measles viruses, adenoviruses, polioviruses, poxviruses, and reoviruses. [5,6] Therefore, oncolytic viruses can be a moral treatment option in cancer therapy. The unique feature of oncolytic viruses is that they act selectively and remove tumor cells without damaging non-cancerous cells. [7] Initially, oncolytic virotherapy was studied as monotherapy with unsatisfactory therapeutic effectiveness. Several mechanisms, including the immunosuppressive tumor microenvironment (TME), the off-target sequestration and replication, the existence of neutralizing antibodies, and the balance between viral replication and induced immune response, contribute to oncolytic virotherapy monotherapy resistance. [8] Therefore, researchers have used various combination therapies to overcome these barriers using oncolytic viruses and immunotherapy.Cancer immunotherapy, including methods such as adoptive T cell therapy, immune checkpoint blockade, and monoclonal or bispecific antibodies, has recently succeeded in treating cancer and other immune-related diseases such as autoimmunity. [9][10][11] Oncolytic viruses have found a good place in the treatment of cancer. Administering oncolytic viruses directly or by applying genetic changes can be effective in cancer treatment through the lysis of tumor cells and, in some cases, by inducing immune system responses. Moreover, oncolytic viruses induce antitumor immune responses via releasing tumor antigens in the tumor microenvironment (TME) and affect tumor cell growth and metabolism. Despite the success of virotherapy in cancer therapies, there are several challenges and limitations, such as immunosuppressive TME, lack of effective penetration into tumor tissue, low efficiency in hypoxia, antiviral immune responses, and off-targeting. Evidence suggests that oncolytic viruses combined with cancer immunotherapy-based methods such as immune checkpoint inhibitors and adoptive cell therapies can effectively overcome these challenges. This review summarizes the latest data on the use of oncolytic viruses for the treatment of cancer and the challenges of this method. Additionally, the effectiveness of mono, dual, and triple therapies using oncolytic viruses and other anticancer agents has been discussed based on the latest findings.