Many of the world’s fastest-growing cities are found in Africa, where rapid urbanisation leads to an increasing need for sustainable water and sanitation services. As these urban areas develop, they encounter significant challenges posed by climate change, which results in erratic water availability. The new normal is that water is either too little, too much, or too dirty. To effectively address these challenges, it is essential for African cities to implement a comprehensive strategy aimed at enhancing urban water resilience. This strategy should not only focus on upgrading current infrastructure but also incorporate nature-based solutions that can support and strengthen these initiatives. By leveraging the benefits of natural ecosystems—such as wetlands, forests, and green roofs—cities can enhance their water management practices, boost biodiversity, and alleviate the effects of climate change. Investing in these sustainable approaches will not only meet the immediate demands for water and sanitation but will also establish a robust foundation for future resilience. As cities adopt innovative methods that merge traditional infrastructure with ecological strategies, they can work towards a more sustainable and equitable future, ensuring that all inhabitants have access to clean and safe water.