Environmental remediation is crucial for human life and ecosystems, involving the cleanup of contaminated water to protect health and restore ecological balance. However, rapid industrialization and population growth have worsened pollution, particularly in water bodies, making effective wastewater treatment a key challenge in ensuring clean drinking water, and the adsorption of toxic gases for air treatment are the main strategies for environmental remediation. Among the various treatment methods, adsorption stands out for its high selectivity, low energy and chemical use, ease of operation, and cost-effectiveness. To date, innovative, highly efficient, non-toxic, engineered adsorbent materials have received potential interest from scientific and governmental communities. Conducting polymer-modified polysaccharide formulations are crucial in wastewater treatment due to their high surface area, adsorption efficiency, excellent stability, and eco-friendly, biodegradable properties. This review offers an extensive overview of recent progress in synthesizing conducting polymer-modified polysaccharide formulations (hydrogels, aerogels, nanofibers, and nanocomposites) for capturing toxic heavy metal ions, organic dyes, pharmaceuticals, phenols as well as adsorbing different toxic gases using various adsorption mechanisms. It also emphasizes the integration of different nanofillers, including carbon-based materials, Mxenes, nanoclay, metal/metal oxides, and hybrid nanomaterials, into conductive polysaccharide chains to improve their physicochemical properties and adsorption efficiency. The reported data showed that these engineered adsorbent materials based on conductive polysaccharide formulations have immense potential for wastewater treatment applications, offering more effective and sustainable solutions.