Constructed wetlands (CWs) have gained recognition as an environmentally friendly and cost-efficient option for treating municipal, industrial, and agricultural wastewater. They treat wastewater by harnessing the combined action of physical, chemical, and biological processes within substrates, plants, and microorganisms, with substrates exerting the greatest influence on the life cycle and purification efficiency of the system. This review provides an in-depth discussion on the development and performance of various substrate types used in CWs, including natural materials, ore-based materials, biomass materials, waste materials, and modified and novel materials. Key substrate modification techniques are summarized in detail, such as acid-base treatment, metal doping, compound modification, and heat treatment, which enhance structural and functional properties to improve pollutant removal. The paper also systematically explores the mechanisms of introducing methods like inorganic electronic enhancement and describes their applications in improving pollutant removal in CW systems. This review provides a holistic evaluation of substrate classification and optimization strategies and a prospective discussion of their challenges and opportunities in practical applications. It contributes to the creation of more efficient and sustainable materials for CW systems and provides theoretical support for selecting and optimizing substrates, thereby driving progress in wastewater treatment technology.
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