The development of dendritic polymers, including dendrimers as well as hyperbranched or highly branched polymers, is rapidly growing in all fields of polymer chemistry. This review article focuses on dendritic polymers based on urethane chemistry as a principle of construction, summarizing synthetic approaches based on isocyanate chemistry as well as on isocyanate free processes. Furthermore, scientific publications and patent literature were investigated to provide a comprehensive overview of applications where dendritic polyurethanes show their specific chemical and physical potential.