The rapid development of organic solar cells (OSCs) based on non-fullerene acceptors has attracted increasing attention during the past few years, with a record power conversion efficiency of over 13% in a binary bulk heterojunction architecture. This exciting development also enables new possibilities for ternary OSCs to further enhance their efficiency and stability. This review summarizes very recent developments of ternary OSCs, with a focus on blends involving non-fullerene acceptors. We also highlight the challenges and perspectives for further development of ternary blend organic solar cells.