Cultural eutrophication from excessive human-related nutrient (phosphorus, P, and nitrogen, N) inputs is a major concern for water quality. Because P historically was regarded as the critical nutrient in controlling noxious algal/plant growth, P became the focus of "capturing" techniques, with emphasis on removal performance rather than environmental impacts. Here, we synthesize a literature review of known environmental effects linked to use of metal-cation-based P-capturing materials under eutrophic conditions in freshwaters. P-capturing materials with functional cations based on aluminum (Al), calcium (Ca), iron (Fe), lanthanum (La), and magnesium (Mg) were reviewed in terms of their ecotoxicity, persistence, and bioaccumulation-standard criteria used to evaluate environmental risks of chemical substances. We found very few published studies on environmental impacts of metal-cation-based P-capturing materials under eutrophic conditions. Available reports indicated that environmental effects vary depending on the selected material, dose, target organism(s), and experimental conditions. The Al-based materials had the potential to negatively impact various biota; several Fe-based materials caused various levels of toxicity in a limited group of aquatic organisms; La-based materials can bioaccumulate and some were linked to various harmful effects on biota; and Mg-based materials also adversely affected various organisms. The limited number of published studies underscores the need for further research to characterize the environmental impacts of these materials. Results can be used to guide future work and can assist resource managers in sustainable management strategies. Among various research needs, future assessments should assess the impacts of chronic exposures on sensitive species under realistic field conditions in eutrophic waters.