With the advances in high resolution and spin-resolved scanning tunneling microscopy as well as atomic-scale manipulation, it has become possible to create and characterize quantum states of matter bottom-up, atom-by-atom. This is largely based on controlling the particle- or wave-like nature of electrons, as well as the interactions between spins, electrons, and orbitals and their interplay with structure and dimensionality. We review the recent advances in creating artificial electronic and spin lattices that lead to various exotic quantum phases of matter, ranging from topological Dirac dispersion to complex magnetic order. We also project future perspectives in non-equilibrium dynamics, prototype technologies, engineered quantum phase transitions and topology, as well as the evolution of complexity from simplicity in this newly developing field.