To meet the increasing demand for water, potable water providers are turning toward unconventional waters, such as seawater and wastewater. These highly saline and/or heavily contaminated water sources are difficult to treat, demanding the use of advanced technology not typically used to treat conventional water sources such as river water or fresh groundwater. Of these advanced technologies, membrane separation processes are fast becoming the most widely used methods to convert these marginal waters into useful resources. The main factors contributing to the widespread adoption of membrane separation processes for water treatment include their modular nature, small physical footprint, and relative energy efficiency compared to traditional distillation processes. In addition, membranes present a physical barrier to pathogens, which is an attractive feature in terms of disinfection credits. However, traditional membrane materials suffer from several distinct drawbacks, which include membrane fouling (the accumulation of material on the membrane surface that blocks the flow of water), the need for high-pressure membranes (such as reverse osmosis (RO) or nanofiltration (NF)) or membrane/thermal processes (e.g., membrane distillation (MD)) to remove small contaminant compounds (e.g., trace metals, salt, endocrine disrupting compounds), and a pressure-driven membrane's inability to effectively remove small, uncharged molecules (e.g., N-nitrosodimethylamine (NDMA), phenol, acetone, and boron). Electrically driven physical and chemical phenomena, such as electrophoresis, electrostatic repulsion, dielectrophoresis, and electricity-driven redox reactions, have long been coupled to membrane-based separation processes, in a process known as electrofiltration. However, it is only in recent years that appropriate membrane materials (i.e., electrically conducting membranes (EMs)) have been developed that enable the efficient use of these electro-driven processes. Specifically, the development of EM materials (both polymeric and inorganic) have reduced the energy consumption of electrofiltration by using the membrane as an electrode in an electrochemical circuit. In essence, a membrane-electrode allows for the concentrated delivery of electrical energy directly to the membrane/water interface where the actual separation process takes place. In the past, metal electrodes were placed on either side of the membrane, which resulted in large potentials needed to drive electrochemical/electrokinetic phenomena. The use of a membrane-electrode dramatically reduces the required potentials, which reduces energy consumption and can also eliminate electrocorrosion and the formation of undesirable byproducts. In this Account, we review recent developments in the field of electrofiltration, with a focus on two water treatment applications: desalination and water reuse (wastewater or contaminated groundwater recycling). Specifically, we discuss how EMs can be used to minimize multiple forms of fouling (biofouling, mineral scaling, organic fouling); how electrochemical reactions at the membrane/water interface are used to destroy toxic contaminants, clean a membrane surface, and transform the local pH environment, which enhances the rejection of certain contaminants; how electric fields and electrostatic forces can be used to reorient molecules at the membrane/water interface; and how electrical energy can be transformed into thermal energy to drive separation processes. A special emphasis is placed on explicitly defining the additional energy consumption associated with the electrochemical phenomena, as well as the additional cost associated with fabricating EM materials. In addition, we will discuss current limitations of the electrofiltration process, with particular attention given to the current limitations of membrane materials and the future research needs in the area of membrane materials and module development.