In the last few decades, the concrete industry has been massively expanded with the adoption of various kinds of binding materials. As a substitute to cement and in an effort to relieve ecofriendly difficulties linked with cement creation, the utilization of industrial waste as cementitious material can sharply reduce the amount of trash disposed of in lakes and landfills. With respect to the mechanical properties, durability and thermal behavior, ground-granulated blast-furnace slag (GGBS) delineates a rational way to develop sustainable cement and concrete. Apart from environmental benefits, the replacement of cement by GGBS illustrates an adequate way to mitigate the economic impact. Although many researchers concentrate on utilizing GGBS in concrete production, knowledge is scattered, and additional research is needed to better understand relationships among a wide spectrum of key questions and to more accurately determine these preliminary findings. This work aims to shed some light on the scientific literature focusing on the use and effectiveness of GGBS as an alternative to cement. First and foremost, basic information on GGBS manufacturing and its physical, chemical and hydraulic activity and heat of hydration are thoroughly discussed. In a following step, fresh concrete properties, such as flowability and mechanical strength, are examined. Furthermore, the durability of concrete, such as density, permeability, acid resistance, carbonation depth and dry shrinkage, are also reviewed and interpreted. It can be deduced that the chemical structure of GGBS is parallel to that of cement, as it shows the creditability of being partially integrated and overall suggests an alternative to Ordinary Portland Cement (OPC). On the basis of such adjustments, the mechanical strength of concrete with GGBS has shown an increase, to a certain degree; however, the flowability of concrete has been reduced. In addition, the durability of concrete containing GGBS cement is shown to be superior. The optimum percentage of GGBS is an essential aspect of better performance. Previous studies have suggested different optimum percentages of GGBS varying from 10 to 20%, depending on the source of GGBS, concrete mix design and particle size of GGBS. Finally, the review also presents some basic process improvement tips for future generations to use GGBS in concrete.