Current regulatory documents and the scientific literature lack a theoretical framework and practical guidance for calculating centrifugally compacted reinforced concrete structures, taking into account the variatropy of their structure and the material’s characteristics across the section. A problem related to this research lies in the need to form a systematized, theoretical, and practical knowledge base about variatropic concretes, the importance of which has been proven by various scientists without, to date, the creation of a unified scientific methodological base. The importance of this study is linked to the need for the world’s construction projects and processes to transition to the most economically, materially, and resource-efficient types of building structures, which, of course, include structures made of variable-type concrete. This study’s objective is to fill these scientific and engineering gaps. The purpose of this study was to systematize the existing knowledge base about the technology, structure formation, and properties of variatropic concrete, using an analytical review of previously conducted studies by ourselves and others, both in Russia and abroad. A theoretical justification for the formation of the structure of variatropic materials is presented. An analysis of the basic physical and mechanical properties of variatropic concretes is carried out and the features of their microstructures are considered. The main structures created using centrifugation technology are considered. Variatropic concrete has an increased amount of mechanical characteristics compared to traditional concrete, on average by up to 45%. The durability of variatropic concrete is improved, on average, by up to 30% compared to conventional concrete.