Superthermal ion cyclotron emission (ICE) is observed in both fusion and space plasmas. Typical spectra display strong peaks at sequential multiple ion cyclotron harmonics, and distinct energetic ion populations are present in the emitting regions. In JET and TFTR, for example, ICE appears to be driven by fusion products or by injected beam ions in the outer mid plane; and in the Earth's ring current, radiation belts, and bow shock, ICE has been observed by the spacecraft OGO 3, GEOS 1 and 2 and AMPTE/IRM, often in conjunction with highly non-Maxwellian proton populations. Common emission mechanisms, arising from collective relaxation of energetic ion populations, appear to operate in both the fusion and space plasma environments. These are reviewed, and the potential role of ICE as a diagnostic of energetic ion populations is also examined.