The extensive use of pesticides has led to the contamination of natural resources, sometimes causing significant and irreversible damage to the environment and human health. Even though the use of many pesticides is banned, these compounds are still being found in rivers worldwide. In this review, 205 documents have been selected to provide an overview of pesticide contamination in rivers over the last 10 years (2014–2024). After these documents were examined, information of 47 river systems was organized according to the types of pesticides most frequently detected, including organochloride, organophosphorus, and pyrethroid compounds. A total of 156 compounds were classified, showing that 46% of these rivers contain organochlorine compounds, while 40% exhibit organophosphorus pesticides. Aldrin, hexachlorocyclohexane, and endosulfan were the predominant organochlorine pesticides with concentration values between 0.4 and 37 × 105 ng L−1. Chlorpyrifos, malathion, and diazinon were the main organophosphorus pesticides with concentrations between 1 and 11 × 105 ng L−1. Comparing the pesticide concentrations with standard guidelines, we found that the Ganga River in India (90 ng L−1), the Owan and Okura Rivers in Nigeria (210 and 9 × 103 ng L−1), and the Dong Nai River in Vietnam (68 ng L−1) exceed the permissible levels of aldrin (30 ng L−1).