Additive manufacturing or 3D-printing is used to create bespoke items in many fields, such as defence, aerospace and medicine. Despite the progress made in 3D-printed orthopaedic implants, significant challenges remain in terms of creating a material capable of osseointegration while inhibiting bacterial colonisation of the implant. Diamond is rapidly emerging as a material with an extensive range of biomedical applications, especially due to its excellent biocompatibility. However, diamond is a difficult material to fabricate, owing to its extreme level of hardness and its brittleness. New methods of fabrication, including additive manufacturing, have overcome some of these challenges and given rise to an increase in the use of diamond-based implants in both soft and hard tissue applications. This review outlines the recent progress in fabricating diamond for orthopaedic application, specifically focusing on the different fabrication approaches and their applicability in vitro and in vivo. The prospects and challenges of using a diamond in medical implant technologies are also discussed.