The removal of organic carbon and nutrients (i.e. N and P) from wastewater is essential for the protection of the water environment. Especially, nitrogen compounds cause eutrophication in the water environment, resulting in bad water quality. Conventional nitrogen removal systems require high aeration costs and additional organic carbon. Microbial electrochemical system (MES) is a sustainable environmental system that treats wastewater and produces energy or valuable chemicals by using microbial electrochemical reaction. Innovative and cost-effective nitrogen removal is feasible by using MESs and increasing attention has been given to the MES development. In this review, recent trends of MESs for nitrogen removal and their mechanism were conclusively reviewed and future research outlooks were also introduced.