Considering the attractive optoelectronic properties of metal halide perovskites (MHPs), their introduction to the field of photocatalysis was only a matter of time. Thus far, MHPs have been explored for the photocatalytic generation of hydrogen, carbon dioxide reduction, organic synthesis, and pollutant degradation applications. Of growing research interest and possible applied significance are the currently emerging developments of MHP-based Z-scheme heterostructures, which can potentially enable efficient photocatalysis of highly energy-demanding redox processes. In this Perspective, we discuss the advantages and limitations of MHPs compared to traditional semiconductor materials for applications as photocatalysts and describe emerging examples in the construction of MHP-based Z-scheme systems. We discuss the principles and material properties that are required for the development of such Z-scheme heterostructure photocatalysts and consider the ongoing challenges and opportunities in this emerging field.