Microreactor technology is seen as a promising approach to achieve green and sustainable synthesis in chemical fields because of the significant process intensification and fine control over reaction parameters caused by the miniaturization of reactor scale. The incorporation of solid catalysts as a packed bed in microreactors opens numerous opportunities for the efficient heterogeneous catalysis that plays a pivotal role in many industrially relevant chemical processes. In this review, the recent development in the use of packed bed microreactors as a versatile research tool and intensified production unit will be highlighted in the application areas including the synthesis of valuable chemicals and fuels, high-throughput catalyst screening, and kinetic/chemistry investigation. Selected reaction examples involving different reactant phases and catalyst categories will be particularly discussed, with an emphasis on the reactor performance in relation to the fundamental chemistry and engineering principles under microflow. In the end, future challenges and the outlook of packed bed microreactors for sustainable chemistry and process development will be provided.