Green roof systems are regarded as a viable solution for mitigating urban environmental challenges and offering a multitude of environmental benefits. Currently, green roofs are increasingly being utilized for the management of rainwater runoff and wastewater. The integration of decentralized rainwater and sewage on-site treatment technology with urban green buildings is being gradually promoted. Green roofs can also be considered as a form of decentralized rainwater and sewage on-site technology, which holds great potential for widespread adoption in the future. Several studies have suggested that green roofs may serve as a potential source of pollutants; however, there are also studies that clearly demonstrate the efficient removal of nutrients and organic pollutants by green roofs. This article critically examines the existing literature on water treatment aspects associated with green roofs and elucidates their classification and operational mechanisms. Through an analysis of previous research cases, it becomes evident that both substrate and vegetation play a significant role in influencing the treatment performance of green roofs. By designing and configuring appropriate substrate and vegetation, green roofs can play a pivotal role in the purification of water quality. Finally, a brief outlook is presented for the future research directions of green roofs, with the anticipation that green roofs will feature more innovative and environmentally friendly designs, as well as expanded prospects for application.

Stormwater and greywater are increasingly recognized as freshwater resources, and the effective separation and reutilization of nitrogen (N) and phosphorus (P) from these streams is vital for water quality improvement and urbanization sustainability. In this study, we constructed a pilot-scale hydroponic green roof wetland system planted with two economically important Chinese herbal plant species (Mentha spicata L. (ML) and Basella alba L. (BL)) to separate and reutilize N and P from synthetic stormwater/greywater. The results reveal that the highest plant biomass was obtained at an ML:BL ratio of 1:3, indicating their superior adaptation to rooftop hydroponics with synthetic stormwater/greywater. This configuration also achieved the strongest water purification, with substantial separation and reutilization efficiency of N (82.09%) and P (81.90%). Furthermore, the lowest microbial richness in the ML roots at this specific plant ratio suggested that increasing BL may enhance ML’s allelopathic effects. An increase in the BL proportion was further associated with a gradual shift in the dominant ML root-associated microorganisms toward microeukaryotic taxa. The green vegetation of the two plant species also effectively suppressed algal blooms (especially diatoms) in the hydroponic rooftop system. This study demonstrates that a Chinese herb-based green roof wetland system can effectively separate and reuse N and P from stormwater/greywater while concurrently purifying water and producing economic crops.