Ionizing radiation, such as gamma, ultraviolet, microwave and X-ray radiation, has long been used in polymer chemistry as a means of initiating polymerization, crosslinking gels and decomposing particular polymer components. More recently, ionizing radiation has found application in tandem with living radical polymerization to form novel polymeric materials with defined molecular weight and narrow molecular weight distribution. In particular, gamma-rays and ultraviolet light both have shown promise as sources of initiation in reversible addition-fragmentation chain transfer (RAFT) polymerization. The ability to apply these sources of initiation at low temperatures is useful in applications where elevated temperature is likely to be detrimental to the system, for instance, in preparing protein-polymer conjugates. Similarly, the use of these initiating sources at low temperature is particularly suitable for some monomers, such as allyl compounds, which have not been synthesized using any other living radical approach. The current review examines the development of ionizing radiation as a tool in RAFT polymerization, with particular reference to the elucidation of the polymerization mechanism, the synthesis of high functionality polymers and probing the kinetic parameters of the RAFT process. (C) 2007 Elsevier Ltd. All rights reserved.