In contrast to ketones, one of the most important classes of organic compou
nds, their heavier element congeners, "heavy ketones", are much less explor
ed because of their extremely high reactivities. This Account reviews the s
ynthesis, reactivities, and structures of stable heavy ketones containing s
ilicon, germanium, and tin as well as those of moderately stable lead analo
gues. These heavy ketones are kinetically stabilized by taking advantage of
bulky substituents, yet they can undergo a variety of reactions due to the
intrinsic high reactivity of heavier group 14-16 double bonds. Systematic
comparisons for silicon through lead compounds reveal interesting differenc
es in their properties, depending on the elements.