Despite being resource-richly endowed with various energy sources, and despite the connection of 89.8% of the households to the grid in South Africa, the Eastern Cape province, as compared to other provinces, has the lowest level of grid connection of about 64.5%. Some of the rural poor households in the Eastern Cape province supplement their free basic electricity with unclean energy alternatives. Using unclean energy alternatives is not only detrimental to the environment and health of the people, but it is a sign of energy poverty and among the contributing factors to depesantization, deagrarianization, and deindustrialization which prolongs the underdevelopment in rural areas. Innovation in energy technologies is a key ingredient in meaningful rural development. The utilization of small-scale biomass gasification technologies can be a solution to the South African energy crisis in rural areas, and it is in line with sustainable development goal number 7, which is about ensuring access to affordable, reliable, sustainable, and modern energy for all. Alternative renewable energy sources cannot be ignored when dealing with the energy crises in South Africa. Renewable energy sources in the country include biomass, solar, wind, and hydropower. Despite its low utilization in the Eastern Cape province, small-scale biomass gasification technology remains pivotal in reducing energy crisis by producing electricity. However, the affordability of biomass gasification technology also plays a role in whether people will accept small-scale biomass gasification technology. The purpose of this paper is to determine the possibilities of using small-scale biomass gasification technology. This paper gives a comprehensive review of small-scale biomass gasification technology potential in the Eastern Cape province and the link between acceptance of small-scale gasification technology and affordability by evaluating the availability of biomass sources in the province and achievements with regards to small-scale biomass gasification. This paper also covers the impact of biomass gasification technology integration in the energy grid, what needs to be taken into consideration before its installation, its benefits and the barriers to its development in Eastern Cape province.