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As coastal regions face escalating risks from flooding in a changing climate, Nature-based Solutions (NbS) have garnered attention as promising adaptation measures to mitigate the destructive impacts of coastal flooding. However, the challenge of compound flooding, which involves the combined effects of multiple flood drivers, demands a deeper understanding of the efficacy of NbS against this complex phenomenon. This manuscript reviews the literature on process-based modeling of NbS for mitigating compound coastal flooding and identifies knowledge gaps to enhance future research efforts. We used an automated search strategy within the SCOPUS database, followed by a screening process that ultimately resulted in 141 publications assessing the functionality of NbS against coastal flooding. Our review identified a dearth of research (9 %) investigating the performance of NbS against compound flooding scenarios. We examined the challenges and complexities involved in modeling such scenarios, including hydrologic, hydrodynamic, and ecological feedback processes by exploring the studies that used a process-based modeling framework. Key research gaps were identified, such as navigating the complex environment, managing computational costs, and addressing the shortages of experts and data. We outlined potential modeling pathways to improve NbS characterization in the compound flooding framework. Additionally, uncertainties associated with numerical modeling and steps to bridge the research-to-operation gaps were briefly discussed, highlighting the bottlenecks in operational implementation.