The tower measures 338 m (1,109 ft) in height from ground level to the highest point. An observation deck with panoramic views, restaurants, theaters, shopping malls and the Skywalk X, a thrilling walking tour around the outer rim. It offers the best view of Macau and in recent years has been used for a variety of adventurous activities. At 233 meters, the Macau Tower's tethered "skyjump" and Bungee jump by world renowned AJ Hackett  from the tower's outer rim, is the highest in the world. The tower was created by the architecture firm of Craig Craig Moller.
The tower is one of the members of the World Federation of Great Towers. Besides being used for observation and entertainment, the tower is also used for telecommunications and broadcasting.
On a visit to Auckland, New Zealand, Macau casino billionaire Stanley Ho Hung-Sun was so impressed by the Sky Tower in Auckland that he commissioned a similar one to be built in Macau. The tower was designed by New Zealand engineering firm Beca Group and Gordon Moller of Craig Craig Moller architects for Sociedade de Turismo e Diversões de Macau, SARL. Construction work of the tower started in 1998, and the tower was officially opened on December 19, 2001.
On December 17, 2006, the father of contemporary bungee jumping, A J Hackett, and popular artist Edison Chen broke two Guinness World Records at the Macau Tower. A J Hackett, broke his own Guinness World Record of "The Highest Bungee Jump from a Building" achieved in 1987 from the Eiffel Tower. Edison Chen represented Macau Tower in the inaugural jump to bid for "The World's Highest Bungee Jump Facility".
In popular culture
It was used as a roadblock in an episode of ' that originally aired on April 22, 2007 on CBS. The tower also appeared in two episodes of The Amazing Race Asia 3. Jack Osbourne has bungee-jumped off the tower as well, as part of the third series of '.
- Sky Tower, the tower which Macau Tower was based on.