The key manufacturing technologies associated with composition, microstructure, mechanical properties, casting quality and key process control for large martensitic stainless steel castings are involved in this paper. The achievements fully satisfeid the technical requirements of the large 700 MW stainless steel hydraulic turbine runner for the Three Gorges Hydropower Station, and become the major technical support for the design and manufacture of the largest 700 MW hydraulic turbine generator unit in the world developed through our own efforts. The characteristics of a new high yield to tensile strength (R p0.2/R m ) ratio and high obdurability martensitic stainless steel with ultra low carbon and high cleanliness are also described. Over the next ten years, the large martensitic stainless steel castings and advanced manufacturing technologies will see a huge demand in clean energy industry such as nuclear power, hydraulic power at home and abroad. Therefore, the new high yield o tensile strength (R p0.2/R m ) ratio and high obdurability martensitic stainless steel materials, the fast and flexible manufacturing technologies of large size castings, and new environment friendly sustainable process will face new challenges and opportunities. The key manufacturing technologies associated with composition, microstructure, mechanical properties, casting quality and key process control for large martensitic stainless steel castings are involved in this paper. The achievements fully satisfeid the technical requirements of the large 700 MW stainless steel hydraulic turbine runner for the Three Gorges Hydropower Station, and become the major technical support for the design and manufacture of the largest 700 MW hydraulic turbine generator unit in the world developed through our own efforts. The characteristics of a new high yield to tensile strength (R p0.2 / R m) ratio and high obdurability martensitic stainless steel with ultra low carbon and high cleanliness are also described. Over the next ten years, the large martensitic stainless steel castings and advanced manufacturing technologies will see a huge demand in clean energy industry such as nuclear power , hydraulic power at home and abroad. Therefore, the new high yield o ten sile strength (R p0.2 / R m) ratio and high obdurability martensitic stainless steel materials, the fast and flexible manufacturing technologies of large size castings, and new environment friendly sustainable process will face new challenges and opportunities.