This paper provides an overview of fractal antennas and metasurfaces, exploring their design principles, performance, and applications. Fractal antennas, incorporating self-similar geometric shapes, offer several advantages, such as their multiband operation, compact size, and improved performance. Metasurfaces, on the other hand, are two-dimensional structures composed of subwavelength unit cells and are designed to achieve advantageous and unusual electromagnetic properties by enabling precise control over electromagnetic waves. This paper discusses the fundamental concepts of fractal antennas and metasurfaces, compares their characteristics, and presents the latest advances in research. Additionally, it highlights applications in wireless communications, energy harvesting, sensing, and beyond.