Thermally sprayed coatings based on tungsten carbide are widely used but not yet fully understood, particularly with regard to the chemical, microstructural, and phase changes that occur during spraying and their influence on properties such as wear resistance. The available literature on thermally sprayed WC-Co coatings is considerable, but it is generally difficult to synthesize all of the findings to obtain a comprehensive understanding of the subject. This is due to the many different starting powders, spray system types, spray parameters, and other variables that influence the coating structures and cause difficulties when comparing results from different workers. The purpose of this review is to identify broad trends in the powder/processing/structure relationships of WC-Co coatings, classified according to powder type and spray method. Detailed comparisons of coating microstructures, powder phase compositions and coating phase compositions as reported by different researchers are given in tabular form and discussed. The emphasis is on the phase changes that occur during spraying. This review concerns only WC-12% Co and WC-17% Co coatings, and contrasts the coatings obtained from the cast and crushed, sintered and crushed, and agglomerated and densified powder types. Properties such as hardness, wear, or corrosion resistance are not reviewed here.