This document discusses high efficiency electric power generation technologies. It reviews electric power plant efficiency and how efficiency improvements can reduce all emissions, including carbon dioxide, without additional environmental equipment. Higher efficiency is the most practical way to currently reduce CO2 emissions from fossil fuel plants. Advanced steam, gas turbine, and coal gasification combined cycle plants that can achieve over 50% efficiency are discussed and compared. Supercritical and ultra-supercritical steam plants burning pulverized coal are highlighted as mature, high efficiency options for new plants and upgrades.