Nitroxide-mediated polymerization (NMP) is one of the most powerful reversible deactivation radical polymerization techniques and has incredibly gained in maturity and robustness over the last decades. However, control of methacrylic esters is one of the different aspects of NMP that still requires improvement. This family of monomers always represented an important challenge for NMP, despite the many different nitroxide structures that have been designed over the course of time. This Review aims to present the most successful strategies directed toward the control of the NMP technique of methacrylic esters and especially methyl methacrylate. NMP-derived materials comprising uncontrolled methacrylate segments will also be discussed.