Microvessels, including arterioles, capillaries, and venules, play an important role in regulating blood flow, enabling nutrient and waste exchange, and facilitating immune surveillance. Due to their important roles in maintaining normal function in human tissues, a substantial effort has been devoted to developing tissue-engineered models to study endothelium-related biology and pathology. Various engineering strategies have been developed to recapitulate the structural, cellular, and molecular hallmarks of native human microvessels in vitro. In this review, recent progress in engineering approaches, key components, and culture platforms for tissue-engineered human microvessel models is summarized. Then, tissue-specific models, and the major applications of tissue-engineered microvessels in development, disease modeling, drug screening and delivery, and vascularization in tissue engineering, are reviewed. Finally, future research directions for the field are discussed. Advances in tissue engineering and stem cell technology have led to the rapid development of vascular models that seek to recapitulate organ level functions. Highly reductive 2D models enable high-throughput screening, whereas, more complex 3D tissue-engineered models are crucial for disease modeling. Here progress in the field including engineering approaches, applications, and future research directions, is summarized. image