The burgeoning global population and industrial activities have significantly increased the generation of wastewater laden with nutrients, posing severe environmental and public health concerns. Traditional wastewater treatment methods often fall short in effectively removing nutrients like nitrogen and phosphorus, leading to eutrophication of water bodies and endangering aquatic ecosystems. In response, emerging technologies for nutrient removal in wastewater treatment have gained traction in recent years, offering innovative and efficient solutions to mitigate nutrient pollution. This comprehensive review explores the latest advancements in nutrient removal technologies, encompassing biological, physical, and chemical processes. Biological treatment methods, including activated sludge, sequencing batch reactors (SBRs), and membrane bioreactors (MBRs), have been extensively studied and optimized for nutrient removal. Novel biofilm-based systems, such as moving bed biofilm reactors (MBBRs) and integrated fixed-film activated sludge (IFAS), have demonstrated enhanced nutrient removal capabilities and resilience to fluctuations in wastewater composition. Furthermore, the integration of advanced oxidation processes (AOPs) and membrane technologies has revolutionized nutrient removal from wastewater. AOPs, such as ozonation, ultraviolet (UV) irradiation, and photocatalysis, offer effective means to degrade recalcitrant organic pollutants and disrupt nutrient cycles. Membrane-based technologies, including reverse osmosis (RO), nanofiltration (NF), and forward osmosis (FO), enable selective nutrient removal and concentration, thereby producing high-quality effluent suitable for reuse or discharge into sensitive environments. Additionally, the review delves into emerging chemical treatment strategies, such as adsorption, precipitation, and ion exchange, for targeted removal of nutrients from wastewater streams. Advanced adsorbents and nanomaterials exhibit superior adsorption capacities and selectivity for nitrogen and phosphorus compounds, paving the way for cost-effective nutrient recovery and resource recycling. Moreover, the review highlights the importance of process optimization, system integration, and environmental sustainability in the development and deployment of emerging nutrient removal technologies. Life cycle assessments (LCAs) and techno-economic analyses provide valuable insights into the environmental footprint and economic viability of these innovative solutions, guiding decision-makers towards sustainable wastewater management practices. In conclusion, the synthesis of biological, physical, and chemical processes in emerging nutrient removal technologies holds great promise for addressing the challenges of nutrient pollution in wastewater treatment. Future research directions should focus on scalability, energy efficiency, and holistic approaches towards achieving water quality goals and fostering a circular economy.