Rotational moulding is a unique low-shear process used to manufacture hollow parts. The process is an excellent process method for batch processing, minimal waste and stress-free parts. However, the process has drawbacks such as long cycle times, gas dependency and a limited palette of materials relative to other process methods. This review aimed to shed light on the current state-of-the-art research contributing towards sustainability in rotational moulding. The scope of this review broadly assessed all areas of the process such as material development, process adaptations and development, modelling, simulation and contributions towards applications carving a more sustainable society. The PRISMA literature review method was adopted, finding that the majority of publications focus on material development, specifically on the use of waste, fillers, fibres and composites as a way to improve sustainability. Significant focus on biocomposites and natural fibres highlighted the strong research interest, while recyclate studies appeared to be less explored to date. Other research paths are process modification, modelling and simulation, motivated to increase energy efficiency, reduction in scrap and attempts to reduce cycle time with models. An emerging research interest in rotational moulding is the contribution towards the hydrogen economy, particularly type IV hydrogen vessels.