The global energy crisis and heavy metal pollution are the common problems of the world. It is noted that the microbial fuel cell (MFC) has been developed as a promising technique for sustainable energy production and simultaneously coupled with the remediation of heavy metals from water and soil. This paper reviewed the performances of MFCs for heavy metal removal from soil and water. Electrochemical and microbial biocatalytic reactions synergistically resulted in power generation and the high removal efficiencies of several heavy metals in wastewater, such as copper, hexavalent chromium, mercury, silver, thallium. The coupling system of MFCs and microbial electrolysis cells (MECs) successfully reduced cadmium and lead without external energy input. Moreover, the effects of pH and electrode materials on the MFCs in water were discussed. In addition, the remediation of heavy metal-contaminated soil by MFCs were summarized, noting that plant-MFC performed very well in the heavy metal removal. Microorganisms 2019, 7, 697 2 of 13 electrode reaction using acetate as a substrate [6] and a two-chamber MFC setup (Figure 1) are shown below: Anodic reaction : CH 3 COO − +2H 2 O microbes → 2CO 2 +7H + +8e − (1) Cathodic reaction : O 2 +4e − +4H + → 2H 2 O. (2)