Water contamination by emerging pollutants poses a significant environmental challenge, demanding innovative treatment technologies beyond conventional methods. Advanced oxidation processes (AOPs) utilizing niobium-based catalysts, particularly niobium oxide (Nb₂O₅) and its modified forms, are prominent due to their high chemical stability, effective reactive oxygen species (ROS) generation, and versatility. This review systematically examines recent advancements in Nb₂O₅-based catalysts across various AOPs, including heterogeneous photocatalysis, electrocatalysis, and Fenton-like reactions, highlighting their mechanisms, material modifications, and performance. Following PRISMA and InOrdinatio guidelines, 381 papers were selected for this synthesis. The main findings indicate that niobium incorporation enhances pollutant degradation by extending light absorption, reducing electron–hole recombination, and increasing ROS generation. Structural modifications such as crystalline phase tuning, defect engineering, and the formation of heterostructures further amplify catalytic efficiency and stability. These catalysts demonstrate considerable potential for water treatment, effectively degrading a broad range of persistent contaminants such as dyes, pharmaceuticals, pesticides, and personal care products. This review underscores the environmental benefits and practical relevance of Nb₂O₅-based systems, identifying critical areas for future research to advance sustainable water remediation technologies.