It is estimated that at least one quarter of the world’s population will be affected by water shortages in the coming years and by 2030 there will be a global water deficit of 40% if urgent action is not taken. Currently, the main consumer of water globally is agriculture. In addition, it has been estimated that to meet the demand for food by 2050, the water available for agricultural irrigation would have to increase by 70%. In this context, wastewater could become a relevant water resource to meet this growing demand. This article aims to show the state of the global research on sustainable use of wastewater in agriculture. To this end, a systematic qualitative analysis and a quantitative bibliometric analysis were conducted. The search was carried out for the period 2000–2019, and the analyzed sample comprised 1986 articles. The results show that this line of research is one of the most outstanding within agriculture and has gained special relevance during the last five years. Research has improved significantly at a technical level, but problems such as energy consumption, and the elimination of heavy metals and elements of chemical and pharmacological products, still need to be refined. There is a particular lack of contributions covering social aspects. This article can serve as a reference for both researchers and stakeholders interested in this topic.