Mined phosphate rock is the largest source of phosphorus (P) for use in agriculture and agro-industry, but it also is a finite resource irregularly distributed around the world. Alternatively, waste water is a renewable source of P, available at the local scale. In waste water treatment, biological nitrogen (N) removal is applied according to a wide range of variants targeting the abatement of the ammonium content. Ammonium oxidation to nitrate can also be considered to mitigate ammonia emission, while enabling N recovery. This review focuses on the analysis of alternatives for coupling biological N treatment and phosphate precipitation when treating waste water in view of producing P-rich materials easily usable as fertilisers. Phosphate precipitation can be applied before (upstream configuration), together with (concomitant configuration), and after (downstream configuration) N treatment; i.e., chemically induced as a conditioning pre-treatment, biologically induced inside the reactor, and chemically induced as a refining post-treatment. Characteristics of the recovered products differ significantly depending on the case studied. Currently, precipitated phosphate salts are not typified in the European fertiliser regulation, and this fact limits marketability. Nonetheless, this topic is in progress. The potential requirements to be complied by these materials to be covered by the regulation are overviewed. The insights given will help in identifying enhanced integrated approaches for waste water treatment, pointing out significant needs for subsequent agronomic valorisation of the recovered phosphate salts, according to the paradigms of the circular economy, sustainability, and environmental protection.