The role of acetaldehyde as a nucleophile in various asymmetric C-C bond forming transformations is 5 presented, with consideration not only to the optimizations of reaction parameters relevant to product formation, polymerization, by-products, purifications, chirality and instability of final products, but also the application of final products in the synthesis of bioactive molecules. The review is organized according to the use of acetaldehyde in different organocatalytic reactions covering the most recent reports. In the last section indirect sources of acetaldehyde are discussed from the perspective of difficult 10 handling and its requirement of slow addition as well as freshly distilled in some of the transformations, which is one of the most critical issues in the late exploitation of acetaldehyde as a nucleophile in synthetic chemistry.