Since the discovery of the paper, around A.D. 105 during the Han Dynasty in China, it has enabled an assortment of versatile applications. In Analytical Chemistry, the paper has emerged as a powerful tool to bolster the development of sensing platforms. A pivotal breakthrough was a microfluidic paper-based analytical device (µPAD), an analytical platform assembled on paper or nitrocellulose, which enables low-cost sensor technologies suited for analyzsing complex samples (including sample pretreatment, mixing, separation, and analysis). In the last decade, there has been a significant increase in publications involving the development of paper-based sensing platforms due to the remarkable properties of cellulose, which include versatile chemical functionalization capabilities, biocompatibility, high thermal stability for robust applications, and high mechanical strength to resist wear and tear. However, the most desirable attribute of paper substrate for sensing devices is capillary for fluid transport. At first, µPADs explored predominantly colorimetric detection, which led to less accurate results due to reduced sensitivity. Under these circumstances, electrochemical paper-based devices (ePADs) have emerged as an appealing alternative considering their portability, inexpensive instrumentation, high sensitivity, and capability of miniaturization. This chapter approaches how the field of ePADs has grown since its emergence a decade ago as well as properties of different types of paper, fabrication methods relevant to ePADs with more focus given to hydrophobic channels and electrodes, and new applications of ePADs in the fields of clinical diagnostics and environmental testing.