**Background:** Vat photopolymerization (VP) is a 3D bioprinting technique that uses UV or visible light to solidify photoactive bioresin in a vat, enabling fabrication of complex tissue scaffolds with high resolution (<100 nm) and rapid speed. This review covers mechanisms, methods, materials, and applications in tissue engineering.
**Methods:** The review describes four photopolymerization mechanisms: free radical chain growth (e.g., GelMA), step-growth (thiol-ene), photo-radical coupling (e.g., eosin Y), and two-photon polymerization (TPP). VP techniques include stereolithography (SLA), digital light processing (DLP), continuous liquid interface production (CLIP), high-area rapid printing (HARP), computed axial lithography (CAL), and TPP. Bioresin components include photoinitiators (PIs) like Irgacure 2959, LAP, eosin Y, and riboflavin, and biomaterials such as gelatin methacrylate (GelMA), hyaluronic acid methacrylate (HAMA), chitosan, alginate, and PEG derivatives.
**Key Results:** VP achieves printing resolution <100 nm (TPP) and speeds up to 1000× faster than traditional methods (CLIP). For example, HARP printed a 38 cm × 61 cm × 76 cm construct in 105 min. In liver tissue engineering, DLP-printed GelMA/dECM scaffolds enhanced hiHep cell viability and albumin secretion. For skin, DLP-printed GelMA/HA-NB scaffolds with HSFs and HUVECs reduced wound closure time in rats. In bone, SLA-printed PTMC-MA with 40% nano-HAP induced vascularization and new bone formation in rabbit skull defects. For cartilage, CAL-printed GelMA menisci with ACPCs showed uniform GAG and collagen I distribution after 28 days.
**Clinical Implications:** VP bioprinting offers unprecedented control over scaffold architecture, enabling patient-specific tissue constructs for liver, skin, bone, and cartilage repair. However, challenges include limited multimaterial printing, cell sedimentation in low-viscosity bioresins, and the need for transparent, biocompatible materials. Future directions include developing high-speed, high-resolution VP techniques and universal bioresin toolboxes.