Quasars at cosmological distances can be gravitationally lensed by galaxies into two or more images. The probability of this lensing and the angular separation between the images depend on the geometry and the expansion history of the universe as well as the lensing galaxies. The time delay between lensed images is also a direct indicator of the size of the universe. I review these cosmological applications of multiple-image gravitationally lensed quasars to determine or constrain the cosmological parameters.