The pollutant removal efficiency of traditionally constructed wetlands (CWs) is often limited due to low interaction time between wastewater and the CW matrix (plants, microbes, and substrates). A zigzag-horizontal subsurface flow constructed wetland with effluent recirculation (Z-HSSF + ER) was developed to improve removal efficiency. Echinodorus cordifolius plants were used in this study. The efficiency of the systems was evaluated using eutrophic wastewater. The results showed that the developed systems exhibited the high removal efficiency of algal cells, PO43-, and NO3- (97%, 70%, and 100%, respectively), within 5 days. Algal cells were removed by the interception mechanism of gravel and zigzag baffles. PO43- and NO3- in the eutrophic wastewater was mainly removed by E. cordifolius including rhizobacteria and other microorganisms. The long flow pathway created by the installation of zigzag baffles combined with effluent recirculation provides high dissolved oxygen (DO) in the systems and increases the interaction time between wastewater and the CW matrix, thus improving the pollutant removal efficiency of CWs.