Water deficit is a major problem affecting crop production worldwide. The use of treated wastewater in irrigation systems improves soil health and enhances crop growth and productivity. However, it has been characterized as a source of heavy metals. The unknown is how heavy metals’ movements would be impacted under an intercropping system when irrigated with treated wastewater. Understanding the dynamic of heavy metals in soil–plant systems is essential for environmental risk assessment and sustainable agriculture. A greenhouse pot experiment was conducted to explore the effects of treated wastewater irrigation on plant growth, soil chemical properties, and the movements of Zn, Cu, Pb, and Cd from soil to plants in monoculture and intercropping systems. Maize and soybean were selected as the test crops and groundwater and treated livestock wastewater as the water sources. This study found that treated wastewater irrigation and intercropping systems synergically increased the soil nutrient content and crop growth. The concentrations of Zn, Pb, and Cd were significantly higher in leaves compared to other plant parts contrastingly to Cu, which was higher in roots. In addition, treated wastewater irrigation increased grain nutrient content in mono- and intercropping systems while the concentration of heavy metals was in the acceptable range for human consumption. The enrichment degree of Cu and Pb due to treated livestock wastewater irrigation relative to groundwater irrigation was higher in uncultivated soil compared with cultivated soil. This study showed that the intercropping system facilitated heavy metals’ transfer from soil to plant except for Cd. These findings provide guidelines for a safe utilization of treated wastewater in agricultural systems and to reduce freshwater use pressure.

Due to climate change, 2/3 of the world’s population will face water shortage problems by 2025, while a 50% increase in food production is required in 2050 to feed nine billion people. In addition, the intensified anthropogenic activities have significantly increased water resource pollution. In this condition, wastewater reuse for crop irrigation to reduce water scarcity is currently becoming global, while it often causes soil pollution and heavy metal accumulation in agricultural areas. This situation has increased public concern over its environmental impact. Thus, an integrated framework was conducted to discuss the status of water availability in China, wastewater treatment and reuse in irrigation systems, and the potential health risks. Avenues for new research toward sustainable agriculture were discussed. We emphasize that wastewater reuse reduces the freshwater deficit and increases food productivity. However, adequate treatment should be applied before use to reduce its adverse impacts on human health risks and environmental pollution. Facilities and policies should support more accessible access to reclaimed water used in industries and urban facilities from secondary municipal wastewater treatment plants. This could be a long-term solution to eradicate water scarcity and inefficient water resources in agricultural systems.