Contamination of residential properties with illicit drug residues, notably methamphetamine, has been identified as a public health concern. There is little global consensus on the most effective method to determine the extent of contamination within a property and effectively remediate a contaminated property. This review covers current practises for methamphetamine remediation and identifies areas in which further research is required to adequately assess the risk to public health. Information in this review comes from peer reviewed journal articles, online databases and websites, and chemical safety data sheets. A brief discussion of current methamphetamine remediation policy in New Zealand is provided, together with the rationale behind its development. An evaluation of the chemical contamination signature from methamphetamine abuse is provided, followed by an assessment of current decontamination methods, addressing limitations which impact their efficacy. Novel chemical decontamination strategies and areas of further research are also identified and discussed.