Zinc–manganese dioxide (Zn–MnO2) batteries, pivotal in primary energy storage, face challenges in rechargeability due to cathode dissolution and anode corrosion. This review summarizes cathode-free designs using pH-optimized electrolytes and modified electrodes/current collectors. For electrolytes, while acidic systems with additives (PVP, HAc) enhance ion transport, dual-electrolyte configurations (ion-selective membranes/hydrogels) reduce Zn corrosion. Near-neutral strategies utilize nanomicelles/complexing agents to regulate MnO2 deposition. Moreover, mediators (I−, Br−, Cr3+) reactivate MnO2 but require shuttle-effect control. For the electrodes/current collectors, electrode innovations including SEI/CEI layers and surfactant-driven phase tuning are introduced. Electrode-free designs and integrated “supercapattery” systems combining supercapacitors with Zn–MnO2/I2 chemistries are also discussed. This review highlights electrolyte–electrode synergy and hybrid device potential, paving the way for sustainable, high-performance Zn–MnO2 systems.