An overview is presented of recent design trends and developments in reactor concepts for magnetic confinement fusion. The paper emphasizes the engineering and technology considerations of commercial fusion reactor concepts. Emphasis is placed on reactors that operate on the deuterium/tritium/lithium fuel cycle. Recent developments in tokamak, mirror, and Elmo Bumpy Torus reactor concepts are described, as well as a survey of recent developments on a wide variety of alternate magnetic fusion reactor concepts. The paper emphasizes recent developments of these concepts within the last two to three years.