Over the last decade, new developments in Similarity Renormalization Group techniques and nuclear many-body methods have dramatically increased the capabilities of ab initio nuclear structure and reaction theory. Ground and excited-state properties can be computed up to the tin region, and from the proton to the presumptive neutron drip lines, providing unprecedented opportunities to confront two-plus three-nucleon interactions from chiral Effective Field Theory with experimental data. In this contribution, I will give a broad survey of the current status of nuclear many-body approaches, and I will use selected results to discuss both achievements and open issues that need to be addressed in the coming decade.