This is a critical review of regional settlement pattern archaeology published in the last decade. The regional approach proves to be highly productive of new ideas and lasting results. Cultural resource/heritage databases are increasingly important. Notable advances have been made in regional studies of Paleolithic and Holocene foragers, the reciprocal relations between Neolithic communities and their regional societies, and in understanding states and empires. There are new research potentials in comparisons, macroregional analysis, long-term change, and alternative pathways. Research designs should specify systematic coverage at the regional scale and carry out spatial analysis in which social groups are the primary focus.