This study aimed at examining solid waste management systems in Ethiopia, identifying the gaps, and exploring ways for improvement. Expansive literature surveys of journal articles, official reports, state-issued pamphlets, critical review of laws and policies were used to elicit information. Case studies provided insight into challenges while investigations into the waste management system of countries with a better system were made to draw comparisons and pinpoint areas of improvement. The average waste generation (0.32 kg/capita/day) was found to be within the limit of waste generation for low-income countries: however, there is an annual increase in waste generation by 5%. The waste is dominated by organic biodegradables which accounted for 67.4%. Crude open dumping without pre-treatment and traditional open burning of wastes are common practices. only 5% of waste is recycled in an unsafe informal way. The current waste management system can be described by 3 I's (Irregular, inadequate, and inefficient) which denote sporadic and inconsistent collection, low coverage, technical frailties, and lack of enforcement of laws, respectively. Hence, implementing the new system proposed in this study should be a priority. Political will, institutional reform, finance, and most importantly change in behavior are necessary to ensure sustainable waste management.