Fuel cells are expected to be promising future power sources in both aspects of thermal efficiency and environmental friendliness. Accordingly, worldwide research and development efforts have been enormously increasing recently in various applications such as power plants, transportation and portable power sources. Among others, high temperature fuel cells, such as solid oxide fuel cells and molten carbonate fuel cells, are suitable for electric power plants. Moreover, their high operating temperature is quite appropriate to construct further advanced integrated systems. This paper reviews recent literatures on research and development of integrated power generation systems based on high temperature fuel cells. Research and development efforts are summarized in the area of fuel cell/ gas turbine hybrid systems, application of carbon capture technology to fuel cell systems, integration of coal gasification with fuel cells, and the use of alternative fuels.