Household solid fuel use is a major source of many air pollutants causing severe air pollution and adverse health outcomes. In evaluation of health impacts of household air pollution, it is essential to characterize toxic properties like mutagenicity of residential fuel combustion emissions and exposure assessments. Mutagenicity of emissions from solid fuel cookstoves were analyzed through a literature review. T98 and TA100 strains are two most widely used strains in mutagenic Ames test, and results for these two strains are generally positively correlated though they have different endpoints. Direct and indirect mutagenic activities are positively correlated, and statistically insignificantly different though indirect mutagenic emissions are apparently higher. Mutagenicity emission factors on the basis of fuel energy (MJ) or useful energy delivered (MJd) for solid fuel cookstoves vary in nearly 3 orders of magnitude, ranging from 3.0×104 rev./MJd to 1.8×107 rev./MJd (or 1.1×104 rev./MJ to 4.2×106 rev./MJ). Low mutagenic emissions are reported for high efficiency stoves such as a forced-draft one. Mutagenicity emission factors are positively correlated with emissions of PM2.5. Relationship between mutagenicity and polycyclic aromatic hydrocarbons (PAHs) emissions is inconsistent among studies as PAHs are minor fractions of toxic organics contributing to the total mutagenicity. Generally, studies on mutagenicity of emissions from household cookstoves are very limited, and future studies are encouraged on mutagenic emissions from different fuel types and household stoves, evaluation of mutagenic activities of both gaseous and particulate emissions, and toxicology and exposure assessments of household air pollution.