Titanium-based perovskites have garnered significant attention for photocatalytic applications, particularly in the field of environmental remediation through the degradation of synthetic dyes and pharmaceuticals in aqueous solutions. This review paper aims to explore the synthesis methods, crystal structures, photoactivity, and photocatalytic performance of titanium-based perovskites in degrading synthetic dye and pharmaceutical effluents in water. The unique advantages of titanium-based perovskites as photocatalysts, associated with their high redox potentials and excellent optical and electrical properties, are highlighted. Their limitations in visible light absorption and photocatalytic efficiency due to rapid charge carrier recombination are also discussed. Several strategies to overcome these limitations, such as surface modifications of the photocatalysts, metal and non-metal doping, the introduction of structure defects, the formation of heterojunctions with electron-accepting materials, and the deposition of plasmonic metal nanoparticles are systematically examined. This review also provides an overview of the photocatalytic degradation of dyes and pharmaceuticals as emerging contaminants, utilizing titanium-based perovskites as photocatalysts, to highlight their efficiency and potential for real-word applications. By covering research findings, current knowledge, and future perspectives, this review aims to stimulate advancements in the design and application of titanium-based perovskite photocatalysts. © 2026 by the authors.