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Over the past few years, new technologies for nitrogen removal have been developed mainly because of the increasing financial costs of the traditional wastewater treatment technologies. Newly discovered pathways, like the anaerobic oxidation of ammonium (ANAMMOX), and uses for nitrogen removal technologies are under discussion. Processes and technologies such as: Partial nitrification; Single reactor systems for High Ammonium Removal Over Nitrite (SHARON); Anammox; Aerobic/anoxic deammonification; Oxygen Limited Autotrophic Nitrification‐Denitrification (OLAND); Completely Autotrophic Nitrogen Removal Over Nitrite (CANON); wetland based systems, all have a high potential for nitrogen removal. However, the pathways of nitrogen transformation processes are very complex. An understanding of how various environmental factors affect these processes and a sound knowledge of existing, worldwide experience pertaining to these novel technologies are the key if the nitrogen removal rates are to be improved and success is to be realized in full‐scale applications. This review describes the present knowledge of the new treatment technologies for wastewater with high nitrogen loads. Special emphasis is given to the influence of environmental factors and the reactor configuration on the nitrogen transformation process and microbial activity.