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Fungal biosorption is an environmental biotechnology based on the ability of the fungal cell wall to concentrate harmful water pollutants. Among its advantages are its simplicity, high efficiency, flexibility of operation, and low cost. The biosorptive performance of fungal pellets is getting growing attention since they offer process advantages over the culture of disperse mycelia, such as an enhanced biomass separation, and a high resilience in severe environmental conditions. In this review, biosorption capacity of fungal pellets towards heavy metals, dyes, phenolic compounds, humic substances, pesticides, and pharmaceuticals was reviewed. Available data about the adsorption capacity of pellets, their removal efficiency, and the operational conditions used were collected and synthesized. The studies relying on biodegradation were discarded to present only the possibilities of fungal pellets for removing these concern pollutants through biosorption. It was found that the biosorption of complex mixtures of pollutants on fungal pellets is scarcely studied, as well as the interfering effect of anions commonly found in water and wastewater. Furthermore, there is a lack of research with real wastewater and at pilot and large scale. These topics need to be further explored to take full advantage of fungal pellets on improving the quality of aquatic systems.