Air pollution is causing a global health, climate, and environmental crisis. Air quality (AQ) in hyper-arid regions, such as the Arabian Peninsula, remains under-explored, posing significant concerns for public health and the scientific community. Both long-term and short-term exposure to high pollutant levels, whether from anthropogenic or natural sources, can pose serious health risks. This paper offers a comprehensive review and meta-analysis of urban AQ literature published in the region over the past decade (2013-June 2025). We aim to provide guidance and highlight key directions for future research in the field. This paper examines key pollutants, emission sources, implications of urban sources, and the most studied countries, methodologies, limitations, and recommendations from different case studies. Our analysis reveals a significant research gap highlighting insufficient recent literature. Saudi Arabia was the most studied country with 20 papers, followed by the broader Arabian Peninsula (sixteen), Qatar (twelve), the United Arab Emirates and Iraq (seven each), Kuwait (four), Oman (three), Jordan, and Bahrain (one each). The primary methods employed included measurements and sampling (28%) and remote sensing (24%), with a focus on pollutants such as dust (23.1%), NOx/NO2/NO (17.2%), PM2.5 (17.6%), and PM10 (12%). Industrial emissions (27%) and natural dust (24%) were identified as significant emission sources. Monitoring methods included grab sampling (19%), integrated sampling (34%), and continuous monitoring (47%). Notably, 13.3% of AQ sensors were linked to a station, 27.6% were self-referenced, and 59.1% did not specify calibration methods. The findings highlight the need for further research, regular calibration of air quality monitors, and the integration of advanced modeling approaches. Moreover, we recommend exploring the links between air pollution and urban development to ensure cleaner air and contribute to the global dialogue on sustainable and cross-border AQ solutions.