Foodborne pathogens cause a major burden to public health and the economy, costing A$2.44 billion, and causing 48,000 hospitalisations annually in Australia. With an increasing global impact of foodborne illnesses and the emergence of antibiotic-resistant pathogens, new decontamination technologies should consider the One Health approach to human, animal and environmental health. This review explores the application of plasma-activated water (PAW) as a novel sanitisation method. We discuss the implications of adopting PAW as an environmentally friendly and cost-effective sanitiser through a multidisciplinary One Health perspective. The findings underscore the promising role of PAW in mitigating foodborne pathogens, offering a holistic solution that aligns with the principles of One Health for enhanced food safety and public health.