Ginger (Zingiber officinale Roscoe) has attracted attention in poultry production and reproduction because of its pharmacological properties and numerous bioactive compounds. This review explores the use of ginger derivatives, including ginger powder, extracts, oils, and fermented ginger, as natural alternatives to synthetic antibiotics in poultry diets. It also highlights their main bioactive compounds, such as gingerols, shogaols, paradols, and zingerone, which are known for their antioxidant, antimicrobial, anti-inflammatory, and anti-apoptotic effects. This review is based on recent studies focusing on the roles of ginger and its derivatives, and/or ginger combined with other phytogenic additives, in poultry feed supplements. Additionally, it emphasizes the benefits of dietary supplementation with ginger derivatives for improving productive and reproductive performance, including laying rate, reproductive hormone production, egg production and quality, fertility, hatchability, and overall immunity and health in poultry. The findings suggest that adding ginger derivatives and/or combining them with other phytogenic feed additives to poultry diets could provide economic benefits and support sustainable poultry farming, aligning with the increasing demand for antibiotic-free products. In conclusion, dietary ginger and its derivatives, when supplemented at an optimal rate, are a promising natural alternative to synthetic antibiotics in poultry production. Therefore, a comprehensive understanding of its role in poultry production is crucial.