Objectives: This study was conducted to investigate the application of microbial fuel cells (MFCs) to the wastewater treatment systems employed in the Living Building Challenge. Methods: I reviewed a range of information on decentralized wastewater treatment technologies such as composting toilets, constructed wetlands, recirculating biofilters, membrane bioreactors, and MFCs. Results: The Living Building Challenge is a set of standards to make buildings more eco-friendly using renewable resources and self-treating water systems. Although there are various decentralized wastewater treatment technologies available, MFCs have been considered an attractive future option for a decentralized system as used in the Living Building Challenge. MFCs can directly convert substrate energy to electricity with high conversion efficiency at ambient and even at low temperatures. MFCs do not require energy input for aeration if using open-air cathodes. Moreover, MFCs have the potential for widespread application in locations lacking water and electrical infrastructure Conclusions: This paper demonstrated the feasibility of MFCs as a novel decentralized wastewater treatment system employed in the Living Building Challenge.