Microwave dielectric ceramics (MWDCs) are pivotal to modern wireless communication systems, with their performance governed by three key parameters: relative dielectric constant (ε_r), Q×f value (product of quality factor Q (reciprocal dielectric loss) and frequency f), and temperature coefficient of resonant frequency (τ_f). This review systematically summarizes the recent research progress of MWDCs from five interrelated aspects. In terms of performance characterization, standardized resonant methods achieve ε_r measurement errors below 1% and a tanδ detection limit as low as 10^-5. Theoretically, frameworks from complex crystal chemistry to the recently elucidated cation rattling effect enable quantitative interpretation of dielectric behavior. In processing, the cold sintering process achieves ceramic densification below 300 °C, reducing energy consumption by over 97% in comparison with conventional sintering. For applications, these materials have been widely deployed in high-performance substrates, resonators, and filters for 5G/6G communications, with device insertion loss maintained below 1 dB. Additionally, data-driven approaches, particularly machine learning, can accurately predict key dielectric properties with a coefficient of determination (R²) higher than 0.9, accelerating the exploration and development of novel MWDCs. By integrating these perspectives, this review offers a systematic insight into the state-of-the-art progress and future development directions of MWDCs research.