Vegetation porous concrete is a novel material that integrates concrete technology with plant growth, offering excellent engineering applicability and environmental friendliness. This material is mainly utilized in eco-engineering projects such as riverbank protection, architectural greening, and slope protection along roads. This paper systematically reviews the current research progress of vegetation porous concrete by collecting and analyzing the relevant literature from both domestic and international sources. It covers several aspects including the material components of vegetation porous concrete, such as aggregates, cementitious materials, chemical admixtures, and plant species, as well as aspects like mix design, workability, porosity, pH value, mechanical strength, and vegetative performance. Furthermore, the application of vegetation porous concrete in riverbank protection, slope protection along highways, and urban architecture is discussed, along with a prospective outlook on future research directions for vegetation porous concrete.