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Nature-based solutions (NbSs) are considered to form an innovative stormwater management approach that has living resolutions grounded in natural processes and structures. NbSs offer many other environmental benefits over traditional grey infrastructure, including reduced air pollution and climate change mitigation. This review predominantly centers on the hydrological aspect of NbSs and furnishes a condensed summary of the collective understanding about NbSs as an alternatives for stormwater management. In this study, which employed the CIMO (Context, Intervention, Mechanism, Outcome) framework, a corpus of 187 NbS-related publications (2000–2023) extracted from the Web of Science database were used, and we expounded upon the origins, objectives, and significance of NbSs in urban runoff and climate change, and the operational mechanisms of NbSs (including green roofs, permeable pavements, bioretention systems, and constructed wetlands), which are widely used in urban stormwater management, were also discussed. Additionally, the efficacy of NbSs in improving stormwater quality and quantity is discussed in depth in this study. In particular, the critical role of NbSs in reducing nutrients such as TSS, TN, TP, and COD and heavy metal pollutants such as Fe, Cu, Pb, and Zn is emphasized. Finally, the main barriers encountered in the promotion and application of NbSs in different countries and regions, including financial, technological and physical, regulatory, and public awareness, are listed, and future directions for improving and strategizing NbS implementation are proposed. This review gathered knowledge from diverse sources to provide an overview of NbSs, enhancing the comprehension of their mechanisms and applications. It underscores specific areas requiring future research attention. [ABSTRACT FROM AUTHOR]