Researching new therapies for bone pathologies has traditionally involved the use of 2D cell culture systems with different types of bone cells, often murine cell lines, with, at most, the addition of isolated extracellular components to recapitulate some signals present in the bone microenvironment. Mostly used for mechanistic purposes and preclinical drug screening, these 2D models are further transitioned into animal models for drug validation, prior to clinical testing. In over 90% of cases, clinical failures are however observed, partly due to inherent species differences. In cancer-related diseases, the bone tumour microenvironment is often a metastatic site, representing such a source of heterogeneity between patients, cancer subtypes and treatment histories, that the current approaches only diminish the chances of treatment efficacy. In the last three decades, advances in tissue engineering and bioengineering have been put forward to address this unmeet need and will be discussed in this talk. It is now established that three-dimensional (3D) microenvironment models better mimic structural and biochemical properties, including critical cell-to-cell and cell-to-matrix interactions. Three-dimensional cell culture using scaffolds, hydrogels, mineral addition, chemical treatments and mechanical stimulation enable human primary cells to be cultured in more chemically- and mechanically-relevant contexts than 2D models, a step closer to human bone. More recently, the use of patient-derived xenografts with 3D tissue engineered bone models have further proven to enable better physiological relevance as an in vitro model for drug discovery and screening. Lastly, the use of tissue-engineered human bone models as humanized xenograft models in rats and mice have been used, either ectopically or orthotopically, so far for the study of advanced breast, prostate and multiple myeloma cancers and osteosarcomas, enabling novel mechanistic insights in human disease. For primary and secondary cancers in bone alike, tissue engineering and rodent humanization represent a promising tool for studying advanced human tumour niches in bone.