As a renewable polymer compound with abundant reserves in nature, lignin has shown great application potential in the field of sewage treatment due to its unique structural characteristics and environmental friendliness. We review the preparation strategies, flocculation mechanisms, key influencing factors, and practical application challenges of lignin-based flocculants. Through chemical modification approaches such as graft copolymerization, amination, cross-linking, and sulfonation, the molecular weight of lignin can be effectively regulated, with functional group activity optimized, and spatial configuration tailored. As a result, the flocculation performance can be significantly enhanced. Flocculation mechanisms include charge neutralisation, adsorption bridging, and sweep coagulation. Flocculation efficiency is synergistically influenced by factors such as concentration, pH and temperature. Experimental studies have shown that lignin-based flocculants exhibit excellent performance in turbidity removal, dye removal, and heavy metal removal. For example, the removal rate of anionic dyes can reach more than 94%, and the removal rate of heavy metal ions (such as Cu²⁺, Pb²⁺) is close to 100%. Compared with conventional flocculants, lignin-based flocculants offer advantages of low toxicity and biodegradability. However, their practical application still faces challenges such as complex modification processes and potential residual toxic reagents. To promote large-scale application, further optimization of green modification techniques is required to balance performance requirements with environmental considerations, along with establishing efficient and sustainable synthesis pathways and application protocols.