Abstract: Polyhydroquinolines (PHQs) are important nitrogen-containing heterocycles because of their wide range of pharmacological activities and potential for future pharmaceutical developments. The current review focuses on critically discussing recent advances in the green and sustainable multicomponent synthesis of PHQ derivatives. The scope includes energy-efficient approaches, such as microwave-, ultrasound-, and solarassisted synthesis, along with the implementation of sustainable catalysts such as organocatalysts, photocatalysts, nanocatalysts, transition-metal catalysts, and biodegradable composites for the synthesis of PHQ derivatives. Furthermore, the review highlights the importance of solvent selection, especially under neat conditions, and the use of green solvents as less-toxic, recyclable medium. The reviewed studies indicate that several advanced methodologies can reduce reaction time, improve synthetic efficiency, enable catalyst recycling, and minimise hazardous solvent use; however, limitations remain, including the use of expensive catalysts, a restricted substrate scope, challenges in catalyst separation, and scale-up, as well as specialised energy sources. Where available, green chemistry metrics including atom economy, E-factor, Process Mass Intensity (PMI), and Eco-Scale are evaluated to compare the environmental performance of reported methodologies beyond isolated yield. Overall, the review highlights recent progress towards PHQ synthesis, identifies gaps that limit the widespread use of pharmaceuticals and industrial applications, and suggests future research directions for scalable, economical, and reproducible synthetic methodologies.