Coal gasification generates solid waste materials in relatively large quantities, and their disposal can represent a significant expense. For example, a 100-MW power plant based on IGCC technology using 1000 tons of 10% ash coal per day may generate over 110 tons/day of solid waste or slag, consisting of vitrified mineral matter and unburned carbon. As coal gasification technologies, considered clean and efficient methods of utilizing coal, find increasing applications for power generation or chemical feedstock production, it becomes imperative that slag utilization methods be developed, tested, and commercialized in order to address the costly problems associated with its disposal as solid waste. This chapter presents an overview of the experimental work that has been conducted to characterize samples of slag from various gasifiers and to identify and test a number of commercial applications for their utilization, and discusses various issues with regard to slag utilization. In the course of examining various utilization applications for a number of coal gasification slags that parallel those developed for fly ash, a better understanding of slag as a construction material has been achieved. The applications tested include the use of slag as an aggregate for road construction, cement concrete and asphalt concrete, and production of lightweight aggregate from slag.