This paper provides an overview of theory, design, simulation, and fabrication of novel spatial harmonic magnetrons (SHMs). An approximate analysis which provides the guidelines for the design and predicts the important characteristics of these devices will be presented. This analysis shows that the metamaterial loaded SHMs can start generating power with very small cathode current densities which is very important for designing THz sources based on SHMs. A design example with the operation frequency of 43 GHz together with the design procedure, PIC simulations, and measurement results will be examined.