This paper presents a review of small-to-medium-sized, pressurized-water-cooled nuclear power reactors whose major primary coolant systems are integrated into a reactor pressure vessel, the concepts categorized as Integrated Primary System Nuclear Reactors (IPSRs). Typical examples of these proposals of interest in this review are CAREM, SMART, IRIS and IMR, all of which are being aimed at the near term deployment. Emphasis is placed on thermal hydraulic aspects. A brief characterization of the IPSR concepts is made and comparisons of plant key parameters are shown. Discussions will follow for the core cooling under rated power conditions and natural circulation heat removal on the basis of the design data available in the public domain.