We present a combined report on the results of three editions of the Cell Tracking Challenge, an ongoing initiative aimed at promoting the development and objective evaluation of cell tracking algorithms. With twenty-one participating algorithms and a data repository consisting of thirteen datasets of various microscopy modalities, the challenge displays today’s state of the art in the field. We analyze the results using performance measures for segmentation and tracking that rank all participating methods. We also analyze the performance of all algorithms in terms of biological measures and their practical usability. Even though some methods score high in all technical aspects, not a single one obtains fully correct solutions. We show that methods that either take prior information into account using learning strategies or analyze cells in a global spatio-temporal video context perform better than other methods under the segmentation and tracking scenarios included in the challenge.