Biomass is available from many sources or can be mass-produced. Moreover, biomass has a high energy-generation potential, produces less toxic emissions than some other fuels, is mostly carbon neutrality, and burns easily. Biomass has been widely utilized as a raw material in thermal chemical conversion, replacing coal and oil, including power generation. Biomass firing and co-firing in pulverized coal boilers, fluidized bed boilers, and grate furnaces or stokerfed boilers have been developed around the world because of the worsening environmental problems and developing energy crisis. However, many issues hinder the efficient and clean utilization of biomass in energy applications. They include preparation, firing and co-firing, and ash-related issues during and after combustion. In particular, ash-related issues, including alkali-induced slagging, silicate melt-induced slagging (ash fusion), agglomeration, corrosion, and ash utilization, are among the most challenging problems. The current review provides a summary of knowledge and research developments concerning these ash-related issues. It also gives an in-depth analysis and discussion on the formation mechanisms, urgent requirements, and potential countermeasures including the use of additives, co-firing, leaching, and alloying.