Wastewater-based epidemiology (WBE) evaluates the health status, environmental exposure, and lifestyle habits of community inhabitants through the investigation of chemical or biological markers present in urban wastewater systems. This approach is frequently employed in discerning drug abuse, disease prevalence, and the presence of environmental contaminants. To comprehend the current state and developmental trajectories in WBE research, the current study utilizes the source literature of the Web of Science Core Collection (WOSCC) database. Implementing the Bibliometrix toolkit in R language and employing CiteSpace and VOSviewer for bibliometric analysis, this investigative pursuit effectuates an all-encompassing evaluation of the WBE literature, traversing a substantial time span of 16 years, encompassing 2008 through 2023. The results of this bibliometric analysis illuminate annual propensities and disciplinary distribution related to WBE research, while discerning the most impactful and prolific contributors, including authors, institutions, countries, and scholarly journals. The onset of the COVID-19 pandemic has engendered the expedited progression of WBE, leading to a substantial escalation in research endeavors in the past three years. By meticulously evaluating highly-cited publications, co-occurrence network of keywords, and keyword burst analysis, it is concluded that the research hotspots in this field focus on the monitoring of illicit drugs, psychoactive substances, and viruses in sewage. Subsequent investigations possess the capacity to propel the advancement of emerging methodologies for biomarker identification and analytical techniques. By concurrently integrating big data technologies (including artificial intelligence and cloud computing) with epidemiological and clinical data sets, a more expansive, precise, and efficacious rendition of WBE research can be realized.