Wastewater treatment plants generate significant amounts of sludge, a residual product that is rich in nutrients, usually considered waste, and traditionally eliminated by storage or incineration, methods that are expensive, environmentally damaging, and often unsustainable. Composting is increasingly recognized as an ecological and durable solution for managing biodegradable waste, including sludge resulting from wastewater treatment. The composting of residual sludge usually requires mixing with bulking agents, such as green waste or agricultural residues, to ensure a well-balanced carbon–nitrogen ratio. This mixture undergoes a controlled aerobic decomposition, sometimes followed by post-treatment, resulting in a stabilized final product that is nutrient-rich and pathogen-free and can be used as soil amendment or fertilizer in different agricultural or landscaping applications. By using composting, communities can reduce elimination costs, reduce greenhouse gas emissions, and minimize the environmental impact of sludge management. This paper reviews recent reported experiences in the laboratory regarding full-scale sludge composting, highlighting the particularities of the processes, the influence factors, the quality of the final product, and the environmental and regulatory constraints. Composting is a sustainable and ecological solution for managing wastewater sludge, contributing to nutrient circularity, and minimizing the environmental impact.