The obtaining of materials incorporating multiple metal elements is of interest because the combination of various metal cations results in the achievement of new and enhanced properties. Metal-organic frameworks (MOFs) offer a suitable platform to combine multiple metal elements due to their modular nature and highly controllable structure. The incorporation of various metal elements into MOFs might be accomplished by following different synthetic approaches, which in turn determine the way in which the various metal elements are arranged in the framework. In this contribution, we will overview the formation of multimetal MOFs by the introduction of new metal sites in the organic linkers, or in the inorganic secondary building units through cation exchange process, or one-pot synthesis.