This text provides a bibliographic review on bioaggregates obtained from mussel shells and similar materials, evaluating the main properties altered with the use of this type of recycled aggregate in cementitious materials. The bibliographic analysis highlights the main problems and challenges of using bioaggregates related to the presence of organic impurities and chlorides and due to the lamellar and flat shape of the grains, which impair adhesion in the transition zone. The advantages of mussel shell bioaggregates include their limestone-based chemical composition, properties that are inert and compatible with the application, and a specific mass close to conventional aggregates. Regarding their use in cementitious materials, in general, there is a reduction in workability and an increase in incorporated air, porosity, and water absorption, resulting in a reduction in compressive strength. However, it is observed that lower replacement levels make it possible to use bioaggregates, especially fine aggregates, in cementitious materials for different applications, such as structural concrete, coating mortar, and sealing systems. The positive points are related to the promotion of thermal insulation and the reduction in density, which allow for various uses for cementitious materials with bioaggregates, such as lightweight concrete, permeable concrete, and thermal and acoustic insulation mortars. It is concluded that the use of bioaggregates in concrete and mortars is viable, but the need for more experimental work to solve the main problems encountered, such as high water absorption and low compressive strength, is highlighted.