Tilt-up, tilt-slab or tilt-wall is a type of building and a construction technique using concrete. Though it is a cost-effective technique with a shorter completion time, poor performance in earthquakes has mandated significant seismic retrofit requirements in older buildings.

With the tilt-up method, concrete elements (walls, columns, structural supports, etc.) are formed horizontally on a concrete slab; this normally requires the building floor as a building form but may be a temporary concrete casting surface near the building footprint. After the concrete has cured, the elements are "tilted" to the vertical position with a crane and braced into position until the remaining building structural components (roofs, intermediate floors and walls) are secured.

Tilt-up construction is a common method of construction throughout North America, several Caribbean nations, Australia, and New Zealand. It is not significantly used in Europe or the northern two thirds of Asia. It is gaining popularity in southern Asia, the Middle East, parts of Africa, Central and South America.

Concrete elements can also be formed at factories away from the building site. Tilt-up differs from prefabrication, or plant cast construction, in that all elements are constructed on the job site. This eliminates the size limitation imposed by transporting elements from a factory to the project site.