The potential applications of fusion reactors, the desirable properties of reactors intended for various applications, and the limitations of the Tokamak concept are discussed. The principles and characteristics of 20 distinct alternative confinement concepts are described, each of which may be an alternative to the Tokamak. The devices are classed as Tokamak-like, stellarator-like, mirror machines, bumpy tori, electrostatically assisted, migma concept, and wall-confined plasma.