Technological advances have made cardiac computed tomography (CT) an important player in cardiac imaging. Cardiac CT has become a powerful tool in the armamentarium of cardiac risk stratification assessment of intermediate-risk patients, bypass grafts, stents, and anomalous coronary arteries. With advancement in accuracy and reliability, cardiac CT is becoming mainstream in everyday clinical cardiology. It is up to the clinician to use the technology effectively and appropriately. It is certain that cardiac CT technology will continue to improve.