Oil sand tailings from bitumen extraction contain various contaminants, including polycyclic aromatic hydrocarbons, BTEX, and naphthenic acids, which can leak into surrounding environments, threatening aquatic ecosystems and human health. These tailings also contribute to environmental issues such as habitat disruption and greenhouse gas emissions. Despite these challenges, oil sand tailings hold significant potential for waste-to-resource recovery as they contain valuable minerals like rare earth elements (REEs), titanium, nickel, and vanadium. Traditional metal extraction methods are environmentally damaging, requiring high energy inputs and generating dust and harmful emissions. Furthermore, the coating of hydrocarbons on mineral surfaces presents an additional challenge, as it can inhibit the efficiency of metal extraction processes by blocking access to the minerals. This highlights the need for alternative, eco-friendly approaches. Bioleaching, which uses microorganisms to extract metals, emerges as a sustainable solution to unlock the valuable metals within oil sand tailings. This review discusses the minerals found in oil sand tailings, the challenges associated with their extraction, methods from hydrocarbon removal from minerals, and bioleaching as a potential metal recovery method.