Through killing and instilling fear in their prey, large terrestrial carnivores shape the structure and function of ecosystems globally. Most large carnivore species have experienced severe range and population declines due to human activities, and many are now threatened with extinction. Consequently, the impacts of these predators on food webs have been diminished or lost completely from many ecosystems. Kill rates provide a fundamental metric for understanding large carnivore ecology and assessing and comparing predation within and across ecological communities. Our systematic review of large terrestrial mammalian carnivore kill rates reveals significant positive geographic (North America, Europe, and Africa) and taxonomic (grey wolf Canis lupus, puma Puma concolor, lion Panthera leo, and Eurasian lynx Lynx lynx) bias, with most studies apparently motivated by human-carnivore conflict over access to ungulate prey and wildlife management objectives. Our current understanding of the behaviour and functional roles of many large carnivore species and populations thus remains limited. By synthesising and comparing kill rates, we show that solitary carnivores (e.g. brown bears Ursus arctos and most felids) exhibit higher per capita kill rates than social carnivores. However, ungulate predation by bears is typically limited to predation of neonates during a short period. Lower per capita kill rates by social carnivores suggests group living significantly reduces energetic demands, or, alternatively, that group-living carnivores defend and consume a greater proportion of large prey carcasses, or may acquire more food through other means (e.g. scavenging, kleptoparasitism) than solitary hunters. Kill and consumption rates for Canidae - measured as kilograms of prey per kilogram of carnivore per day - are positively correlated with body mass, consistent with increasing energy costs associated with a cursorial hunting strategy. By contrast, ambush predators such as felids show an opposite trend, and thus the potential energetic advantage of an ambush hunting strategy for carnivores as body mass increases. Additionally, ungulate kill rates remain relatively constant across solitary felid body sizes, indicative of energetic constraints and optimal foraging. Kill rate estimates also reveal potential insights into trophic structuring within carnivore guilds, with subordinate carnivores often killing more than their larger counterparts, which may be indicative of having to cope with food losses to scavengers and dominant competitors. Subordinate carnivores may thus serve an important role in provisioning food to other trophic levels within their respective ecosystems. Importantly, kill rates also clarify misconceptions around the predatory behaviour of carnivores (e.g. spotted hyaenas Crocuta crocuta and wolverines Gulo gulo are often considered scavengers rather than the capable hunters that they are) and thus the potential impacts of various carnivore species on their ecological communities. Despite the importance of kill rates in understanding predator-prey interactions, their utility is not widely recognised, and insufficient research limits our ability to fully appreciate and predict the consequences of modified predation regimes, justify current management actions affecting carnivores, or inform effective conservation measures. Together with other important research on predator-prey interactions, robust kill rate studies that address the research deficiencies we highlight will provide a deeper understanding of the foraging behaviours and potential ecosystem impacts of many of the world's carnivores, thus aiding effective conservation and management actions.