Lima is the second-largest capital of the world located in a desert and already faces water scarcity. Here, more than 30% of the population is supplied by only 2.2% of the national water resources. The urbanization process has an informal nature and occurs at a very accelerated rate. These new settlements lack water infrastructure and access to other services. The objectives of this study are to quantify changes in the urban landscape of Lima Metropolitan Area from 1990 to 2021 to propose a water-sensitive urban plan by detecting changes, urbanization trends and identifying alternative water sources. The trend suggests a future constant increment of the urban areas, diversification of the landscape and more equally distributed land cover. Lima has more disconnected settlements and more complex shapes of urban patches nowadays. The landscape is also more mingled, but cracked. Overall, the trend is to become more disaggregated, demanding small and scattered water solutions. The WSUP includes the implementation of treatment plants in new multi-family buildings, hybrid desalination plants at the coast and parks with fog collectors on the hills. Additionally, these solutions will require the beneficiary community and the local authorities to work together in the planning and maintenance.