We need a much better understanding of the causes and effects of agricultural water pollution as well as effective means to prevent and remedy the problem. In the existing literature, information on water pollution from agriculture is highly dispersed. This repost is a comprehensive review and covers different agricultural sectors (including crops, livestock and aquaculture), and examines the drivers of water pollution in these sectors as well as the resulting pressures and changes in water bodies, the associated impacts on human health and the environment, and the responses needed to prevent pollution and mitigate its risks.