Isoprenyl diphosphate synthases (IDSs) catalyze condensation reactions of isoprene units to produce isoprenoids or terpenoids, the largest class of natural products on earth. IDSs are divided into trans-and cis-IDS superfamilies depending on the configuration of the resulting carbon−carbon double bonds. Compared with trans-IDSs, cis-IDS family members exhibit more variable active site structure and versatile function. The archetypal cis-IDSs are homodimers and produce linear isoprenoids via headto-tail condensation. Recently, heterodimeric cis-IDSs containing a noncatalytic subunit that also belongs to the cis-IDS superfamily have been identified. Moreover, several cis-IDS-fold members have been found to produce nonlinear isoprenoids via "head-to-middle" condensation. In this Review, we summarize the structural features and catalytic mechanism of the versatile cis-IDS superfamily. This information provides important guidance for research regarding biosynthesis of important natural products and medical intermediates, cellular metabolism, and disease control.