Constructed wetland coupled microbial fuel cell (CW-MFC) systems integrate an aerobic zone and an anaerobic zone to treat wastewater and to generate bioenergy. The concept evolves based on the principles of constructed wetlands and plant MFC (one form of photosynthetic MFC) technologies, of which all contain plants. CW-MFC have been used in a wide range of application since their introduction in 2012 for wastewater treatment and electricity generation. However, there are few reports on the individual components and their performance on CW-MFC efficiency. The performance and efficiency of this technology are significantly influenced by several factors such as the organic load and sewage composition, hydraulic retention time, cathode dissolved oxygen, electrode materials and wetland plants. This paper reviews the influence of the macrophyte (wetland plants) component, substrate material, microorganisms, electrode material and hydraulic retention time (HRT) on CW-MFC performance in wastewater treatment and electricity generation. The study assesses the relationship between these parameters and discusses progress in the development of this integrated system to date.