Resistance training refers to a specialized method of conditioning which involves the progressive use of a wide range of resistive loads and a variety of training modalities designed to enhance health, fitness, and sports performance ^[1]. Muscular resistance exercises usually consist of one or multiple sets of repetitions spaced by resting time using the same or different resistance. Although one set requires less time to be executed than multiple sets, performing multiple sets results in greater strength and hypertrophy ^[2][3]. Fitness enthusiasts and researchers have created several multiset training systems, such as circuits, drop and strip, superset, and pyramidal training. A ubiquitous recommendation from domain references, such as the American College of Sports Medicine (ACSM) or National Strength and Conditioning Association (NSCA), is to perform two to three sets with 8 to 12 repetitions at 67–85% of the one-repetition maximum (1RM) ^[4][5]. The present research refers to such a style of training as traditional training. Traditional training varies according to athletes’ level and trainability, such as age and previous training experience. In particular, regular variation of the training program, such as changing the training method or volume, is necessary to maintain the progression. This is because the body quickly adapts to resistance training, and thus changes are necessary for continual progression to occur ^[6]. Regarding age, experts recommend tailoring the physical activity to the subject’s limitations and chronic conditions ^[7]. Having several resistance training methods to draw on allows the routine to be adapted to the practitioner’s physical condition and avoids a plateau in progression. The pyramidal system of training refers to methods in which sets are performed with increasing (or decreasing) weights and repetitions, in such a way that the number of repetitions is low when the weight is high (and vice versa) ^[8]. In this article, we conduct a narrative review of the pyramidal method. Methodology for this review is presented in Section 2. Section 3 presents the physiological adaptations to pyramidal training, while Section 4, Section 5 and Section 6 define then draw comparisons of pyramidal systems, one to each other and with traditional training. The discussion and conclusion are presented in Section 7.