Pathogen-induced population declines and extinction events have been recognized as main threats to amphibian species around the globe. However, the ecological drivers underlying epidemiological patterns are still poorly understood. In an attempt to assess the current knowledge on the ecological drivers of amphibian diseases, we identified 832 peer-reviewed publications on the ecology of amphibian pathogens and diseases published between 2009 and 2019. The vast majority of publications investigated either chytrid or ranavirus infections (79% of the articles), whereas other pathogens such as bacteria and helminths received considerably less attention. Just over half of the studies we reviewed included field research and 40% were experimental in nature, yet only 8% combined field and experimental approaches. More than half of the literature (56%) investigated postmetamorphic stages, whereas premetamorphic stages were considered in 23% of the reviewed studies, and only 13% included both life stages. Susceptibility and mortality have been assessed in almost every study (91%) whereas 37% of them tested for cellular, physiological, or immunological responses. However, other host characteristics such as growth/development, behavior, and specific mucosome/microbiome were considered in only one of four studies. Most research included at least one biotic factor (e.g., host and pathogen identity, species diversity, genetic adaptations), but only one-third considered environmental factors (e.g., temperature, landscape features, inorganic chemicals). Furthermore, there is no general consensus about the factors driving epidemiological patterns of pathogens in amphibian communities, and it is clear that the complexity and specificity of interactions between ecological factors and host–pathogen dynamics make conservation implications difficult and management decisions challenging. To this end, our review identifies some research gaps and proposes future directions to better understand one of the major threats to this class of vertebrates.