Due to intensive marine activities and the use of low-quality fuel oils, the marine transport accounts for a considerable part of air pollution in the transportation sector. Although ships provide the convenient transportation, they exhaust a large number of hazardous pollutants, especially nitrogen oxides (NOx) and sulfur oxides (SOx), which have a significant side effect on environment and human health. To alleviate the impact of global shipping on the environment, international maritime organization established the more stringent emission regulations from Tier I to Tier III in order to reduce emissions from ships. As a result, various emission reduction technologies need to be developed in order to meet more stringent regulations in the future and reduce the pollutant emissions. Under this background, it is indispensable to examine the existing emission reduction technologies when exploring another possible method to reduce the pollutant emissions. Based on a significant number of related literatures, it is general to utilize the marine alternative fuels to reduce the pollutant emissions. Especially, liquid natural gas (LNG) is considered to be one of the most promising marine alternative fuels due to its economy and environmentally friendly features. This review thus aims to summarize the different emission reduction technologies of marine diesel engines through three reduction paths of fuel optimization, pre-combustion control and exhaust after-treatment. Furthermore, the utilization of LNG in the marine diesel engines are evaluated comprehensively from three aspects of environmental protection, energy structure and economic benefits. At the end, some suggestions on the future research are given based on the extensive review on the state-of-the-art literature.