Monotone Lévy processes with additive increments are defined and studied. It is shown that these processes have a natural Markov structure and their Markov transition semigroups are characterized using the monotone Lévy-Khintchine formula. Monotone Lévy processes turn out to be related to classical Lévy processes via Attal's ``remarkable transformation.'' A monotone analogue of the family of exponential martingales associated to a classical Lévy process is also defined.