Fusion energy development is quite successful in both getting equivalent energy breakevencondition in large tokamak and clarifying many important physics in the magnetically confinedplasma to proceed to a fusion experimental reactor, ITER. Now, fusion research has to solvethe power handling toward fusion demonstration power reactor (DEMO). A tokamak plasma withstrongly negative triangularity may o er such an opportunity as an innovative concept. Experimentaland theoretical works at CRPP-EPFL shows promising results for negative triangularity tokamak. In this paper, we review the current understanding of such configuration in both physicaland technological aspects.