Nutrient stoichiometry, particularly the balance of carbon (C), nitrogen (N), and phosphorus (P), plays a fundamental role in regulating freshwater ecosystem dynamics, primary production, and biogeochemical cycling. This study presents one of the first dedicated reviews to combine bibliometric mapping with ecological synthesis of C:N:P ratios in inland waters, drawing on 1004 publications indexed in the Web of Science Core Collection (2000–2025), comprising peer-reviewed articles and review articles refined by document type, language, and research area. Bibliometric mapping using VOSviewer (version 1.6.20) identified exponential growth in publications after 2010, with phosphorus dynamics and eutrophication emerging as the most-cited themes, while recent years have shown increasing attention to C:P ratios as reliable ecological indicators. Four dominant thematic clusters were identified: Nutrient Cycling and Biogeochemistry; Phytoplankton and Food Web Dynamics; Eutrophication and Water Quality; and Climate Change and Ecosystem Responses. Ecological synthesis demonstrated substantial deviations from the canonical Redfield ratio (106C:16N:1P), with pronounced stoichiometric variability across trophic states, latitudes, and ecosystem types. Case comparisons revealed high C:P ratios in Arctic and alpine lakes linked to dissolved organic carbon inputs, low N:P ratios in tropical waters that promote cyanobacterial dominance, and stable, low phosphorus concentrations in deep African lakes. These findings emphasize the significance of flexible stoichiometry in predicting ecosystem tipping points, managing harmful algal blooms (HABs), and guiding nutrient restoration strategies. By integrating bibliometric and ecological evidence, this study identifies C:P ratios as a promising candidate indicator that merits further field validation for freshwater management, while underscoring persistent research gaps in microbial stoichiometry, cross-scalar modeling, and policy uptake in the Global South.
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