This review aims to discuss the latest advancements in quartz-enhanced photoacoustic spectroscopy (QEPAS) based trace-gas sensing. Starting from the QEPAS basic physical principles, the most used QEPAS configurations will be described. This is followed by a detailed theoretical analysis and experimental study regarding the influence of quartz tuning forks (QTFs) geometry on their optoacoustic transducer performance. Furthermore, an overview of the latest developments in QEPAS trace-gas sensor technology employing custom QTFs will be reported. Results obtained by exploiting novel micro-resonator configurations, capable of increasing the QEPAS signal-to-noise ratio by more than two orders of magnitude and the utilization of QTF overtone flexural modes for QEPAS based sensing will be presented. A comparison of the QEPAS performance of different spectrophone configurations is reported based upon signal-to-noise ratio. Finally, a novel QEPAS approach allowing simultaneous dual-gas detection will be described.