To develop sustainable cities, natural ventilation is being explored as one of the ways to reduce energy consumption and carbon dioxide emissions. Recently, acoustic metamaterials with ventilation have garnered attention for their potential to provide both ventilation and noise control. In addition, this class of acoustic metamaterials can be used as a machine enclosure for dissipating thermal load and reducing noise emission. This presentation focuses on the recent progress in acoustic metamaterials with ventilation over the last five years, highlighting three types: metamufflers, metapanels, and metacages. Furthermore, the challenges faced by metacages for real-world applications are presented.