Hydrogel-based wastewater treatment technologies show certain outstanding features, which include exceptional efficiency, sustainability, reusability, and the precise targeting of specific contaminants. Moreover, it becomes possible to minimize the environmental impact when using these materials. Their flexibility, low energy consumption, and adaptability to meet specific requirements for different purposes offer significant advantages over traditional methods like activated carbon filtration, membrane filtration, and chemical treatments. Recent advancements in hydrogel technology, including new production methods and hybrid materials, enhance their ability to efficiently adsorb contaminants without altering their biocompatibility and biodegradability. Therefore, innovative materials that are ideal for sustainable water purification were developed. However, these materials also suffer from several limitations, mostly regarding the scalability, long-term stability in real-world systems, and the need for precise functionalization. Therefore, overcoming these issues remains a challenge. Additionally, improving the efficiency and cost-effectiveness of regeneration methods is essential for their practical use. Finally, assessing the environmental impact of hydrogel production, use, and disposal is crucial to ensure these technologies are beneficial in the long run. This review summarizes recent advancements in developing polymer-based hydrogels for wastewater treatment by adsorption processes to help us understand the progress made during recent years. In particular, the studies presented within this work are compared from the point of view of the synthesis method, raw materials used such as synthetic/natural or hybrid networks, and the targeted class of pollutants-dyes or heavy metal ions. In several sections of this paper, discussions regarding the most important properties of the newly emerged adsorbents, e.g., kinetics, the adsorption capacity, and reusability, are also discussed.