Tailor-made polymers containing specific chemical functionalities have ushered in a number of emerging fields in polymer science. In most of these next-generation applications the focus of the community has centered upon closed-shell macromolecules. Conversely, macromolecules containing stable radical sites have been less studied despite the promise of this evolving class of polymers. In particular, radical-containing macromolecules have shown great potential in magnetic, energy storage, and biomedical applications. Here, the progress regarding the syntheses of open-shell containing polymers are reviewed in two distinct subclasses. In the first, the syntheses of radical polymers (i.e., materials composed of nonconjugated macromolecular backbones and with open-shell units present on the polymer pendant sites) are described. In the second, polyradical (i.e., macromolecules containing stabi-lized radical sites either within the macromolecular backbone or those containing radical sites that are stabilized through a large degree of conjugation) synthetic schemes are presented. Thus, the state-of-the-art in open-shell macromolecular syntheses will be reported and future means by which to advance the current archetype will be discussed. By detailing the synthetic pathways possible for, and the inherent synthetic limitations of, the creation of these functional polymers, the community will be able to extend the bounds of the radical-containing macromolecular paradigm.