Syngas fermentation is a promising process for producing fuels and chemicals from lignocellulosic biomass. Currently syngas fermentation faces several engineering challenges, with gas-to-liquid mass transfer limitation representing the major bottleneck. The aim of this work is to evaluate the performance of a monolithic biofilm reactor (MBR) as a novel reactor configuration for syngas fermentation. The volumetric mass transfer coefficient (kLa) of the MBR was evaluated in abiotic conditions within a wide range of gas flow rates (i.e., gas velocity in monolithic channels) and liquid flow rates (i.e., liquid velocity in the channels). The kLa values of the MBR were higher than those of a controlled bubble column reactor (BCR) in certain conditions, due to the slug flow pattern in the monolithic channels. A continuous syngas fermentation using Clostridium carboxidivorans P7 was conducted in the MBR system under varying operational conditions, with the variables including syngas flow rate, liquid recirculation between the monolithic column and reservoir, and dilution rate. It was found that the syngas fermentation performance – measured by such parameters as syngas utilization efficiency, ethanol concentration and productivity, and ratio of ethanol to acetic acid – depended not only on the mass transfer efficiency but also on the biofouling or abrading of the biofilm attached on the monolithic channel wall. At a condition of 300mL/min of syngas flow rate, 500mL/min of liquid flow rate, and 0.48day−1 of dilution rate, the MBR produced much higher syngas (CO/H2) utilization efficiency and much greater metabolite (ethanol/acetic acid) productivity than what was obtained using a traditional bubble column reactor. The study demonstrates the great potential of MBR as a promising reactor configuration for syngas fermentation with high mass transfer efficiency, low energy consumption, and high metabolite productivity.