Hypoxia is becoming a serious problem in coastal waters in many parts of the world. Artificial downwelling, which is one of the geoengineering-based adaptation options, was suggested as an effective means of mitigating hypoxia in coastal waters. Artificial downwelling powered by green energy, such as solar, wind, wave, or tidal energy, can develop a compensatory downward flow on a kilometer scale, which favors below-pycnocline ventilation and thus mitigates hypoxia in bottom water. In this paper, we review and assess the technical, numerical, and experimental aspects of artificial downwelling all over the world, as well as its potential environmental effects. Some basic principles are presented, and assessment and advice are provided for each category. Some suggestions for further field-based research on artificial downwelling, especially for long-term field research, are also given.