Liquid metal engineering (LME) refers to a variety of physical and/or chemical treatments of molten metals aimed at influencing their solidification characteristics. Although the fundamentals have been known for decades, only recent progress in understanding solidification mechanisms has renewed an interest in opportunities this technique creates for an improvement of castings. This review covers conventional and novel concepts of LME with their application to modern manufacturing techniques based not only on liquid but also on semisolid routes. The role of external forces applied to the melt combined with grain nucleation control is explained along with laboratory- and commercial-scale equipment designed for implementation of various concepts exploring mechanical, electromagnetic, and ultrasound principles. An influence of melt treatments on quality of the final product is considered through distinguishing between internal integrity of net shape components and the alloy microstructure. Recent global developments indicate that exploring the synergy of melt chemistry and physical treatments achieved through LME allows creating the optimum conditions for nucleation and growth during solidification, positively affecting quality of castings.