Recently, great efforts have been made to advance the pilot-scale and engineering-scale applications of Fentonlike processes using various nano-metal catalysts (including nanosized metal-based catalysts, smaller nanocluster catalysts, and single-atom catalysts, etc.). This step is essential to facilitate the practical applications of advanced oxidation processes (AOPs) for these highly active nano-metal catalysts. Before large-scale implementation, these nano-metal catalysts must be converted into the effective catalyst modules (such as catalytic membranes, fluidized beds, or polypropylene sphere suspension systems), as it is not feasible to use suspended powder catalysts for large-scale treatment. Therefore, the pilot-scale and engineering applications of nano-metal catalysts in Fenton-like systems in recent years is exciting. In addition, the combination of life cycle assessment (LCA) and techno-economic analysis (TEA) can provide a useful support tool for engineering scale Fenton-like applications. This paper summarizes the designs and fabrications of various advanced modules based on nano-metal catalysts, analyzes the advantages and disadvantages of these catalytic modules, and further discusses their Fenton-like pilot scale or engineering applications. Concepts of future Fenton-like engineering applications of nano-metal catalysts were also discussed. In addition, current challenges and future expectations in pilot-scale or engineering applications are assessed in conjunction with LCA and TEA. These challenges require further technological advances to enable larger scale engineering applications in the future. The aim of these efforts is to increase the potential of nanoscale AOPs for practical wastewater treatment.