All-solid-state passively Q-switched lasers have advantages that include simple structure, high peak power, and short sub-nanosecond pulse width. Potentially, these lasers can be applied in multiple settings, such as in miniature light sources, laser medical treatment, remote sensing, and precision processing. Cr4+:YAG crystal is an ideal Q-switch material for all-solid-state passively Q-switched lasers owing to its high thermal conductivity, low saturation light intensity, and high damage threshold. This study summarizes the research progress on all-solid-state passively Q-switched lasers that use Cr4+:YAG crystal as a saturable absorber and discusses further prospects for the development and application of such lasers.