The petroleum industry has addressed wax problems since its inception. Every year, considerable resources are expended on wax removal, which accordingly cause significant economic loss. As one of the materials in chemical treatments, polymeric compounds referred to as ''wax-crystal modifier'', is being widely used to improve flow properties and/or combat wax deposition for waxy crude oils. This article reviews the recent achievements with regard to the flow improvement and wax inhibition of waxy oils using traditional polymeric wax crystal modifiers, such as ethylene-vinyl acetate (EVA), poly(ethylene-butene) (PEB), and polyethylenepoly(ethylene-propylene) (PE-PEP), as well as the development of novel polymers for potential use in the near future. The goal of this review is to assist people understand the advances in this topic.