Part one discusses the eco-efficiency and life cycle assessment of Portland cement concrete, before part two goes on to consider concrete with supplementary cementitious materials (SCMs). Concrete with non-reactive wastes is the focus of part three, including municipal solid waste incinerator (MSWI) concrete, and concrete with polymeric, construction and demolition wastes (CDW). An eco-efficient approach to concrete carbonation is also reviewed, followed by an investigation in part four of future alternative binders and the use of nano and biotech in concrete production.