Thulium-doped fiber lasers (TDFLs) have had the second highest growth in average output power next to ytterbium-doped fiber lasers. This has been enabled by access to high power, high brightness ∼790-nm pump diodes in conjunction with the cross-relaxation process that improves laser efficiency. While numerous high power TDFLs have been recently demonstrated, a 1-kW result from 2010 remains the highest output power system reported to date. This paper reviews these systems and the concepts behind high power TDFLs. The spectroscopic properties of Tm3+ -doped silica are first detailed, revealing complex processes and large variations among published measurements. Notable multi-100 W TDFLs are then summarized, with outputs ranging from 1908 to 2130 nm. Another route for power scaling is to in-band pump with another TDFL to enable >90% efficiencies. Both 790- and 1900-nm pumped TDFL architectures are theoretically modeled based on currently available systems. Hindered by high background losses and available pump sources, achieving >4 kW like ytterbium-fiber systems will be a substantial challenge.