The electrochemical process is gaining widespread interest as an emerging alternative for sludge treatment. Its potentials for sludge stabilization and resources recovery have been well proven to date. Despite the high effectiveness of the electrochemical process having been highlighted in several studies, concerns about the electrochemical sludge treatment, including energy consumption, scale-up feasibility, and electrode stability, have not yet been addressed. The present paper critically reviews the versatile uses of the electrochemical processes for sludge treatment and resource recovery, from the fundamentals to the practical applications. Particularly considered are the enhancement of the digestion of the anaerobic sludge and dewaterability, removal of pathogens and heavy metals, and control of sludge malodor. In addition, the opportunities and challenges of the sludge-based resource recovery (i.e., nitrogen, phosphorus, and volatile fatty acids) are discussed. Insights into the working mechanisms (e.g., electroporation, electrokinetics and electrooxidation) of electrochemical processes are reviewed, and perspectives and future research directions are proposed. This work is expected to provide an in-depth understanding and broaden the potential applications of electrochemical processes for sludge treatment and resource recovery.