The accumulation of contaminants in sediments is accelerated by human activities and poses a major threat to ecosystems and human health. In recent years, various remediation techniques have been developed for contaminated sediments. In this review, a bibliometric analysis of papers on sediment remediation indexed in the WOS database between 2009 and 2023 was conducted using VOSviewer. We describe the development of biochar and plants for sediment contaminant removal. However, the single processes of biochar remediation and phytoremediation can be impeded by (i) low efficiency, (ii) poor tolerance of plants towards pollutants, (iii) difficulty in biochar to degrade pollutants, and (iv) biochar aging causing secondary pollution. Fortunately, combination remediation, realized through the combination of biochar and plants, can overcome the shortcomings of their individual applications. Therefore, we suggest that the remediation of contaminants in sediments can be accomplished by combining biochar with macrophytes and considering multiple limiting factors. Here, we explore the challenges that co-remediation with biochar and macrophytes will face in achieving efficient and sustainable sediment remediation, including complex sediment environments, interaction mechanisms of biochar-macrophyte-microorganisms, emerging pollutants, and integrated life cycle assessments, which can provide references for combined biochar and plant remediation of sediments in the future.