As global urbanisation, industrialisation, and population growth escalate, the production of wastewater also increases, leading to significant water pollution on a global scale. This pollution poses severe threats to environmental health, wildlife, and human communities. In rural areas where centralised sewage systems are often absent, septic tanks play a crucial role in managing wastewater. They separate solids from liquids and facilitate the biological decomposition of organic matter. This paper utilises a Patent Landscape Review (PLR) to analyse the scope and direction of innovations in septic tank technology. Conducted on 23 September 2022, the patent search targeted filings from January 2001 through June 2022 to identify prevailing trends and advancements within this field. Through a detailed examination of 889 patents, categorised by keywords, processes, materials, and designs, this study offers a comprehensive overview of the patent landscape for septic tanks. Key findings indicate that fibreglass cylindrical tanks dominate the market due to their durability and efficiency. This review also highlights a growing trend towards modular septic systems, which offer scalable solutions adaptable to specific environmental conditions. Furthermore, some patents propose the repurposing of various objects as septic tanks, demonstrating a move towards sustainability by reducing waste and enhancing environmental conservation. This paper emphasises the importance of continued innovation in septic tank technology to address the challenges of effective wastewater management in underserved rural communities.