The most common method to deal with the huge production of municipal wastes is still the disposal in landfills which, however, generates a leachate with high contents of organic and nitrogen pollutants. Requirements must be fixed by law to control leachate release from such landfills, and effective treatment processes and technologies must be applied to reduce its impact on the environment. Biological processes for leachate treatment are discussed in this review, in the former part of which attention is paid to leachate formation and its qualitative and quantitative features, while the latter deals with the state-of-the-art of the most effective biotechnological treatments presently employed. Processes, alternative methods, and technological improvements are compared, with special focus on novel technologies to remove nitrogen pollutants from leachate, highlighting advantages and drawbacks of each treatment.