Ti-6Al-4V has been widely used in both the biomedical and aerospace industry, due to its high strength, corrosion resistance, high fracture toughness and light weight. Additive manufacturing (AM) is an attractive method of Ti-6Al-4V parts' fabrication, as it provides a low waste alternative for complex geometries. With continued progress being made in SLM technology, the influence of build layers, grain boundaries and defects can be combined to improve further the design process and allow the fabrication of components with improved static and fatigue strength in critical loading directions. To initiate this possibility, the mechanical properties, including monotonic, low and high cycle fatigue and fracture mechanical behaviour, of machined as-built SLM Ti-6Al-4V, have been critically reviewed in order to inform the research community. The corresponding crystallographic phases, defects and layer orientations have been analysed to determine the influence of these features on the mechanical behaviour. This review paper intends to enhance our understanding of how these features can be manipulated and utilised to improve the fatigue resistance of components fabricated from Ti-6Al-4V using the SLM technology.