High-rise building is increasingly using Concrete-Filled Steel Tube (CFST) columns because of their exceptional strength, ductility, and affordability. This review critically investigates how CFST performance and implementation in tall structures are affected by section geometry, concrete grade, steel grade, and tube thickness. The highest ductility and confinement are found in circular sections, while slightly lower confinement is found in square, rectangular, and polygonal sections, which offer constructability benefits. Confinement is most beneficial for Normal Strength Concrete, but High and Ultra-High Strength Concretes improve axial capacity but decrease post-peak ductility. For stability, local buckling prevention, and composite action optimization, steel quality and tube thickness are essential. In addition to improving cost effectiveness, drift control, and seismic performance, CFST systems also show robustness under high loads. Despite these benefits, there are still unanswered questions about dynamic load behavior, high-strength materials, special-shaped sections, and codification. Thus, CFST columns offer a robust and effective substitute for tall structures, striking a balance between economics and structural performance.

Keywords: Concrete-Filled Steel Tube (CFST), Section shape effect, Effect of Concrete Grade, Steel grade and tube thickness, Seismic performance.