From 2025 to 2030, North American waste-to-energy (WTE) programs shift from combustion‑centric plants to hybrid portfolios that include advanced gasification and syngas conditioning. Utilities and municipalities pursue three outcomes: higher net electrical efficiency, tighter emissions, and better material recovery through pre‑processing (RDF, metals, glass). Fluidized‑bed and plasma‑assisted gasifiers mature as project sponsors standardize feed prep, tar cracking, and hot‑gas cleanup. Combined‑cycle or high‑efficiency engines convert cleaned syngas, while heat integration with district energy or industrial hosts boosts overall efficiency. Illustratively, cumulative advanced gasification capacity could grow from ~350 MW (2025) to ~1,680 MW (2030) in North America, with the USA scaling from ~240 MW to ~1,180 MW. Net electrical efficiency improves from ~20–24% to ~25–31% across lanes as oxygen/steam ratios, temperature control, and syngas polishing advance. Emission control stacks converge on dry sorbent injection (DSI), activated carbon for Hg/dioxins, high‑efficiency baghouses, and SCR for NOx, cutting stack NOx from ~150–170 to ~95–125 mg/Nm³ (11% O₂ basis) in this outlook. Measured PM and acid gases fall as pre‑combustion cleanup reduces downstream burden.