This review thoroughly evaluates gasification as a transformative alternative to conventional methods for managing municipal solid waste (MSW), highlighting its potential to convert carbonaceous materials into syngas for energy and chemical synthesis. A comparative evaluation of more than 350 papers and documents demonstrated that gasification is superior to incineration and pyrolysis, resulting in lower harmful emissions and improved energy efficiency, which aligns with sustainability goals. Key operational findings indicate that adjusting the temperature to 800-900 degrees C leads to the consumption of CO2 and the production of CO via the Boudouard reaction. Air gasification produces syngas yields of up to 76.99 wt% at 703 degrees C, while oxygen gasification demonstrates a carbon conversion efficiency of 80.2%. Steam and CO2 gasification prove to be effective for producing H2 and CO, respectively. Catalysts, especially nickel-based ones, are effective in reducing tar and enhancing syngas quality. Innovative approaches, such as co-gasification, plasma and solar-assisted gasification, chemical looping, and integration with carbon capture, artificial intelligence (AI), and the Internet of Things (IoT), show promise in improving process performance and reducing technical and economic hurdles. The review identifies research gaps in catalyst development, feedstock variability, and system integration, emphasizing the need for integrated research, policy, and investment to fully realize the potential of gasification in the clean energy transition and sustainable MSW management.