Combined cooling, heating and power (CCHP) systems, including various technologies, provide an alternative for the world to meet and solve energy-related problems, such as energy shortages, energy supply security, emission control, the economy and conservation of energy, etc. In the first part of this paper, the definition and benefits of CCHP systems are clarified; then the characteristics of CCHP technologies—especially technical performances—are presented, as well as the status of utilization and developments. In the third part, diverse CCHP configurations of existing technologies are presented, particularly four typical systems of various size ranges. The worldwide status quo of CCHP development is briefly introduced by dividing the world into four main sections: the US, Europe, Asia and the Pacific and rest of the world. It is concluded that, within decades, promising CCHP technologies can flourish with the cooperative efforts of governments, energy-related enterprises and professional associations.