The oxygen reduction reaction (ORR) is of great importance in energy-converting processes such as fuel cells and in metal-air batteries and is vital to facilitate the transition toward a nonfossil dependent society. The ORR has been associated with expensive noble metal catalysts that facilitate the O-2 adsorption, dissociation, and subsequent electron transfer. Single- or few-atom motifs based on earth-abundant transition metals, such as Fe, Co, and Mo, combined with nonmetallic elements, such as P, S, and N, embedded in a carbon-based matrix represent one of the most promising alternatives. Often these are referred to as single atom catalysts; however, the coordination number of the metal atom as well as the type and nearest neighbor configuration has a strong influence on the function of the active sites, and a more adequate term to describe them is metal-coordinated motifs. Despite intense research, their function and catalytic mechanism still puzzle researchers. They are not molecular systems with discrete energy states; neither can they fully be described by theories that are adapted for heterogeneous bulk catalysts. Here, recent results on single- and few-atom electrocatalyst motifs are reviewed with an emphasis on reports discussing the function and the mechanism of the active sites.