This review discusses small molecule antibiotics approved for clinical use in the time frame 2010-2022. span saw approval of four synthetic (bedaquiline, pretomanid, delafloxacin, tedizolid), nine natural product derivatives (ceftaroline fosamil, cefiderocol, plazomicin, omadacycline, eravacycline, sarecycline, lefamulin, dalbavancin, oritavancin), and one (fidaxomicin).