In this study, a decentralized new sewage water treatment system is suggested and designed in Ar Riyadh, Saudi Arabia, to safeguard the environment and reuse treated water for irrigation purposes. The system consists of a primary treatment (septic tank), a subsurface horizontal flow constructed wetland (HSSF-CW), and a storage ground tank. The research methodology employed in this study is (i) to define the wastewater characteristics, where air temperature in winter is 18.6 °C, the wastewater flow per person (q) is 150 L/d, demonstrating an inlet design discharge of 300 m3/d, the influent pollutant concentrations for biological oxygen demand (BOD), total suspended solids (TSS), chemical oxygen demand (COD), total nitrogen (TN), total phosphorus (TP), and fecal coliforms (FC) are 350, 1000, 700, 50, 12 mg/L, and 106 CFU/100 mL, respectively; (ii) to design the septic tank based on a retention time of two days and a surfacing load rate of 1.5 m/d; (iii) the P-k-C* model was used to determine the HSSF-CW surface area based on reed beds of Phragmites australis (common reed) and papyrus plants, where the removal rate was constant at 20 °C for BOD, TP, and FC in the effluent concentrations not exceeding 20 mg/L, 3.0 mg/L, and 2000 CFU/100 mL in order to satisfy Saudi Arabia’s wastewater reuse requirements; and (iv) to design the clean water tank for a hydraulic retention time of 10 h. The results demonstrate that the removing pollutants design area is 1872 m2 divided into nine cells, each of width 8 m and length 26 m, with a hydraulic loading rate (LR) of 0.16 m/d and a hydraulic resident time (RT) of 1.1 d. The effluent pollutant concentrations for the BOD, FC, TN, and TP were 245 mg/L, 103 CFU/100 mL, 35, and 8.5 mg/L, respectively. The wastewater treatment system total removal efficiencies for BOD, TN, TP, and FC were estimated to be 91.8, 70, 57, and 98.5%, respectively. Design curves were developed to ease the design steps. The HSSF-CW is a green wastewater treatment technology that offers greatly decreased investment costs, and service particularly for small-scale applications up to 6000 persons.