N-Heterocyclic carbenes (NHCs) can bind as two-electron sigma-donor ligands to lanthanide and actinide metal cations. In this review we summarise how the incorporation of an anionic group (alkoxide or amido), to form heterobidentate NHC ligands, allows the synthesis of a range of f-block NHC adducts. The tethering group also allows the lability of the NHC group, and its subsequent reactivity, to be studied. We include a brief survey of the known, structurally characterised f-element-NHC bond distances, and a range of substrates that react to displace the metal-bound NHC group.