Since the 1980s, the single-core optical fiber cable has been the essential data transmission wiring media, with ongoing increases in deployments. Its use case has broadened, with transmission distances ranging from meters to 10000s km, including intrabuilding, fiber-to-the-home (FTTH), terrestrial, and even submarine trunk lines. Currently, optical fiber cable deployment is strongly driven by cloud-based storage, X as a Service (XaaS), and worldwide data center (DC) functionality with the optical interconnection of massive servers on DC campuses. Hence, it is quite natural that the optical fiber cable industry has developed ultrahigh fiber count, high density, and small diameter optical fiber cable, e.g., 6912-fiber-count cable. With high-density cables, massive data capacity can be installed at one time while saving limited space in an underground duct. High-density cable designs have been developed not just by cable structure optimization but through the process of bundling fibers and the use of high-grade optical fibers. Moreover, many enabling technologies have been developed to support the deployment of ultrahigh fiber count cables, such as fiber identification, connectors, mass fusion splicing, and storage systems for fusion splicing points. In this article, state-of-the-art technologies and prospects for ultrahigh-count and ultrahigh-density optical fiber cables and enabling technologies are explained.