The purpose of this work is to describe and review the current status of the recycling technologies of spent NiMH batteries. In the first part of the work, the structure and characterization of NiMH accumulators are introduced followed by the description of the main scientific studies and the industrial processes. Various recycling routes including physical, pyrometallurgical and hydrometallurgical ones are discussed. The hydrometallurgical methods for the recovery of base metals and rare earths are mainly developed on the laboratory and pilot scale. The operating industrial methods are pyrometallurgical ones and are efficient only on the recovery of certain components of spent batteries. In particular fraction rich in nickel and other materials are recovered; instead the rare earths are lost in the slag and must be further refined by hydrometallurgical process to recover them. Considering the actual legislation regarding the disposal of spent batteries and the preservation of raw materials issues, implementations on laboratory scale and plant optimization studies should be conducted in order to overcome the industrial problems of the scale up for the hydrometallurgical processes.