In 1988 the Energy Technology Support Unit (ETSU) commissioned a review study of Overseas Experience in the Production and Combustion of Coarse Refuse Derived Fuel (c-RDF). The objectives of this review study were to examine the technical and economic performance of facilities manufacturing and burning c-RDF and to assess whether such facilities could operate successfully in the UK. Following an initial desk based review a number of visits to facilities in the US and Europe were undertaken. In addition, meetings were held with some of the key equipment suppliers and national experts in the energy from waste (EFW) field. In 1991 limited further discussions were held to update the findings of the initial study. This report presents both phases as an integrated whole. (author).