As a byproduct of the steelmaking process, ladle slag has the potential to be used as an auxiliary cement material in the construction field. However, ladle slag generated after secondary refining is typically handled by air cooling and stacking, leading to the presence of the typical mineral phase mayenite (Ca12Al14O33, abbreviated as C12A7) in a crystalline form within the slag. This reduces its early hydration activity, which adversely affects the compressive strength of concrete and consequently lowers the resource utilization rate of ladle slag. Based on this, this article provides a comprehensive review of the generation process and composition of ladle slag. By discussing the hydration process and hydration products of the typical mineral phase C12A7 in ladle slag, as well as the mutual transformation of hydration products, it is shown that hydration products undergo transformation with increasing temperature. Compared to crystalline C12A7, amorphous, C12A7 exhibits excellent hydration activity. Building upon this, methods for amorphizing C12A7 are elucidated, wherein thermal activation or chemical activation is employed to alter the ordered arrangement of atoms within the crystal structure, thereby reducing the stability of the crystal structure to achieve amorphization of C12A7.