Ultra-high temperature ceramics (UHTCs) exhibit ultra-high melting points and relatively high mechanical performance, making them ideal coating materials for extreme environment applications like hypersonic vehicles. Recently, novel design strategies of UHTCs coatings have been proposed, mainly including the composition and structural design. In this article, state-of-the-art approaches including multilayer and gradient UHTC coatings for enhanced mechanical and ablation resistance, surface engineering for the improvement of coating adhesion, materials and microstructural design for thermal insulation, laser ablation protection, and drag reduction were reviewed. Furthermore, advanced designing and fabrication techniques for UHTC coatings are also prospected, which can provide insights for the development of next-generation multi-functional UHTC coatings for harsh conditions.