<p>The study of punching shear has gained prominence in structural engineering, particularly over the past decade, due to the abrupt nature of this failure mode and its potentially severe consequences. While certain aspects of punching shear have been extensively investigated, notable gaps persist in the literature. These include the analysis of punching under specific boundary conditions, slabs constructed with alternative materials to conventional reinforced concrete, and solutions such as shear reinforcements and structural strengthening techniques. Although experimental studies dominate the field, many numerical investigations using the finite element method have emerged worldwide, offering valuable insights into this complex phenomenon. This review aims to identify and highlight these research gaps by examining published studies on the numerical simulation of punching shear in slabs. Key aspects of numerical modeling are presented alongside the main conclusions achieved so far while outlining promising future research directions. Potential future research avenues include the numerical simulation of punching shear under dynamic loading conditions, such as seismic actions; the analysis of slabs incorporating novel construction materials, such as lightweight concrete or fiber-reinforced composites; the development and assessment of advanced shear reinforcement systems; and the exploration of punching in complex slab systems, including ribbed slabs, sandwich panels, and biaxial hollow-core slabs. This review seeks to contribute to advancing numerical modeling techniques and understanding punching shear behavior in contemporary structural applications, by addressing these topics.</p>