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Background: The axenisation of phototrophic eukaryotic microalgae has been studied for over a century, with antibiotics commonly employed to achieve axenic cultures. However, this approach often yields inconsistent outcomes and may contribute to the emergence of antibiotic-resistant microbes. A comprehensive review of microalgal species and the methods used to achieve axeny could provide insights into potentially effective workflows and identify gaps for future exploration. Methods: Scholarly databases were systematically searched, supplemented by citation network analysis and AI-assisted tools, to collect studies on achieving axenic phototrophic eukaryotic microalgae cultures. Data about microalgal species, axenisation workflows, outcomes, and related factors (e.g., sampling locations, axenisation confirmation methods) were summarised. Network component analysis was used to identify clusters of commonly reported methods for diatoms, dinoflagellates, and green algae. A scoring framework was developed to assess the quality and reliability of evidence presented in the studies. Results: Emerging patterns suggest that workflows involving filtration, washing, and micropicking are frequently reported for diatoms; micropicking, subculturing, and flow cytometry for dinoflagellates; and anoxy, photosensitisation, and streak plating for green algae. Evidence from the literature indicates that a combination of microscopy (e.g., epifluorescence), cell counting (e.g., agar plating), and sequencing (16S and/or 18S) could enhance confidence in confirming axeny. Conclusion: While antibiotics dominate current practices, alternative pathways for achieving axenic cultures are identifiable through network component analysis. Higher confidence in these methods depends on improved experimental designs and high-quality reporting.