Multispecific drugs are more complex in both chemical structure and mechanism of action than classical drugs because they interact with two or more entities other than one entity in classical drugs. The R&D of multispecific drugs are therefore much more complicated than that of classical drugs. At present, there is still a lack of theoretical guidance, and many laws obtained in classic drugs, such as rule-of-5, are not applicable to multispecific drugs. Through uninterrupted efforts in the past two decades, some progress has been made, and a number of prospectively developed multispecific drugs (including Gemtuzumab ozogamicin, catumaxomab, blinatumomab, emicizumab) have been approved to enter market. Despite this progress, we have to acknowledge that the development of multispecific drugs is still in its infancy stage, and there are challenges faced in many aspects, including synthesis, quality control, structural optimization, pharmacokinetics, safety, manufacture, clinical development, and commercialization. We believe that, with the continuous exploration and technological progress, some of these challenges will be solved, and the multispecific drugs must have a bright future.