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Soil contamination with potentially toxic elements (PTEs) is an increasing environmental problem, posing serious threats to the living organisms. Phytoremediation is a sustainable and highly accepted technology for remediation of PTE-contaminated soils. Alfalfa has been widely adopted for the phytoremediation of PTE-contaminated soils due to its large biomass productivity, high PTE tolerance, and strong capacity to take up PTEs. However, there are still no literature reviews systematically summarized the potential of alfalfa in the phytoremediation. Therefore, we review the available literatures that present its PTE uptake, phytotoxicity, tolerance mechanisms, and aided techniques improving the phytoremediation efficiency. In this review, alfalfa shows high amounts of PTEs accumulation, especially in their root tissue. Meanwhile, the inner mechanisms of PTE tolerance and accumulation in alfalfa are discussed …