Objectives: The current usage and definition of the concept of harm reduction derive from the drug field, rather than from the long history of formal and informal regulation of alcohol-related harms. Harm reduction programs can be applied in the alcohol prevention field. Therefore, the objective of this study was to outline harm reduction activities that have been recorded globally. Methods: In terms of the literature in Europe, America and Australia, reports of governmental agencies and research papers were reviewed. In the case of foreign countries, research papers on the laws, systems, and current situation of public drinking and other alcohol control policies were examined. Focus group interviews were conducted with four alcohol policy experts. Results: Minimizing heavy drinking occasions, or using special glassware that breaks into fine particles instead of sharp pieces were one of harm reduction approaches to decrease the negative consequences of alcohol use. The results showed that alcohol harm reduction policies have demonstrated that such approaches to alcohol-related problems are at least as effective as abstinence-oriented approaches in reducing alcohol consumption and alcohol-related consequences. The limitations of harm reduction and recommendations for future research are discussed. Conclusion: Policies of alcohol harm reduction may receive increased attention as public support declines for restrictions on alcohol availability, and new evidence emerges on the potential benefits of moderate alcohol consumption.