The main treatment unit in conventional systems for surface water is coagulation-flocculation (CF) process, which consumes huge quantities of coagulant, and produces large volume of sludge. The produced sludge is known as one of the components of water treatment sludge (WTS), which is considered as a global issue and hot topic require careful attention from the plant operators and sludge managers to be managed sustainably with applying an ecofriendly method. Among the suggested technologies, recovery and reuse of coagulants from WTS show the potential to decrease the waste disposal and chemicals usage for drinking water treatment significantly. So, this comprehensive review provides a useful insight into environmental and health problems of WTS, reports the sources, physicochemical properties of sludge, describes different sludge management methods by more focus on coagulant recovery (CR), which significantly point out the different aspects of WTS recovery and reuse, and eventually, economic evaluation of the CR process was also discussed. The results of this review confirm that coagulants can be recovered from WTS by different methods and also will be reused for multiple times in the removal of pollutants from water and wastewater. Moreover, the recovered coagulants can be used as building and construction materials, constructed wetlands substrate and other aims.