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Silver nanoparticles (AgNPs) have extensive applications in nanomedicine and parasitology, particularly as antifungal, bactericidal, antiviral, larvicidal, mosquitocidal, and tick-killing agents. Plant-based AgNPs (PB-AgNPs) have been studied as a safer and biocompatible strategy to collaborate in disease control. However, knowledge concerning the toxicity of PB-AgNPs in non-target organisms is still limited. A scientometric and systematic review was conducted to comprehensively understand the potential toxicity associated with these nanoparticles. In brief, the assessment of PB-AgNPs toxicological and ecotoxicity aspects needs to be aligned with their development for target organisms. Our review demonstrates that different PB-AgNPs can cause lethal and sublethal effects like increased oxidative stress, cardiotoxicity, neurotoxicity, hepatotoxicity, hematotoxicity, and, DNA damage, alongside others, particularly in aquatic organisms. Besides, the toxicity of PB-AgNPs for terrestrial and some aquatic organisms remains poorly understood. Additionally, the similar LC50 range between non-target aquatic organisms and target organisms highlights the potential ecological impact of PB-AgNPs. Comprehensive toxicological assessments and further research are crucial to ensure the safe and sustainable use of PB-AgNPs in a One Health context.