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As the construction industry moves towards greater sustainability, the application of more durable and environmentally friendly materials, capable of providing comfort in buildings and infrastructure, is a key element to consider. In this context, the use of alkali-activated binders (AAB) and geopolymers (GP), which have a lower carbon footprint than ordinary Portland cement (OPC), has emerged as an important alternative. Moreover, the addition of waste-based lightweight aggregates (LWA) to AAB and GP matrices produces lightweight composites that offer enhanced mechanical performance and improved comfort as building materials, while offering an alternative use to the increasing number of waste materials from diverse sources. This paper presents a comprehensive review of the literature on the above-mentioned topics (waste LWA in an AAB/GP matrix) published between 2012 and 2023, mainly indexed in the Scopus database. The waste-based LWA reported in the literature were categorized, and their properties and morphology presented. Then, the influence of the size, quantity, and nature of the LWA on the composite's properties and performance was analyzed. Fresh state performance, mechanical performance, density, and thermal and acoustic insulation were considered. This review is complemented by a bibliometric analysis, where keyword correlation and co-authorship networks on this field are established. The review highlights the potential of cementitious composites including waste-based LWA as a sustainable building material for structural and non-structural applications. However, more studies are required to further understand the behaviour of these composites under innovative manufacturing processes, such as extrusion and 3D printing., Competing Interests: The authors declare that they have no known competing financial interests or personal relationships that could have appeared to influence the work reported in this paper., (© 2023 The Author(s).)