Ruthenium complexes are by far the most studied compounds that catalyze hydrogen transfer reactions. In this review, we describe the use in this field of ruthenium complexes bearing bidentate donor-functionalized N-heterocyclic carbene ligands. The review specifically covers the application in transfer hydrogenations of (k2-CNHC,Y)-ruthenacyclic compounds where the Y donor atom is a N, P, O, or S atom, and where the N-heterocyclic carbene ligand is a classical imidazol-2-ylidene, a benzimidazol-2-ylidene, a mesoionic 1,2,3-triazolylidene, or an imidazol-4-ylidene ligand. Tridentate donor-functionalized N-heterocyclic carbene complexes thus fall outside the scope of the review. Applications in (asymmetric) transfer hydrogenation of ketones, aldehydes, imines, alkenes, and nitrobenzene are discussed.