The hierarchy between the mass of the Higgs boson and larger mass scales becomes ever more puzzling as experiments push to higher energies. Neutral naturalness is the umbrella term for symmetry-based explanations for these hierarchies whose quark symmetry partners are not charged under the SU (3) c color gauge group of the Standard Model. Though the first manifestations of this idea predate the physics runs of the Large Hadron Collider, since the Higgs discovery this paradigm has grown and developed to include a wide variety of models, connections to intriguing collider signals, various dark matter candidates, intersections with astrophysics and cosmology, motivations for lattice studies, and ties to neutrinos and flavor. In this review we orient the reader within this growing literature and reveal interesting directions for further study.