Background and objective: Rural water utilities face ongoing financial and operational challenges that threaten their long-term sustainability. Traditionally, their financing has depended heavily on subsidies and donor funding. However, emerging creative financing mechanisms offer more resilient and diversified approaches. This study aimed to systematically review how these creative financing mechanisms are applied within community-based rural water utilities and to compare them with conventional financing models. Methods: A targeted systematic review following PRISMA 2020 guidelines was conducted. A systematic search was performed in the Scopus database in May 2024, limited to peer-reviewed articles published in English from 2009 to 2024. Eligibility criteria were established using the PICO framework: Population (rural water utilities), Intervention (creative financing mechanisms), Comparison (conventional financing models), and Outcome (sustainability measures). Out of 49 records identified, 8 studies met the inclusion criteria. Risk of bias was assessed using adapted CASP criteria. Data were extracted and narratively synthesized by mapping findings to the PICO components. Results: The identified creative financing mechanisms included prepaid tariff schemes, community financing, repayable loans, blended finance, and cross-subsidization. Compared to traditional donor-or subsidy-driven models, these approaches demonstrated improvements in financial viability, service reliability, and institutional resilience. Nonetheless, their effectiveness was found to be context-dependent. Of the selected studies, five were judged to have a moderate risk of bias due to descriptive reporting, while three studies had a low risk of bias. Conclusion: Despite a limited sample size, this review indicates that creative financing mechanisms are genuine innovations that extend beyond merely traditional models by diversifying revenue sources and reducing dependency on unsustainable subsidies. However, the current evidence base remains narrow, and the findings are more indicative than comprehensive. Future research should utilize a broader range of databases and evidence sources to develop a more complete and widely applicable understanding of financing models for rural water utilities. Ⓒ 2025 by the Society for People, Plants, and Environment.