Alternative tillage and rice establishment options should aim at less water and labor to produce similar or improved yields compared with traditional puddled-transplanted rice cultivation. The relative performance of these practices in terms of yield, water input, and economics varies across rice-growing regions. A global meta and mixed model analysis was performed, using a dataset involving 323 on-station and 9 on-farm studies (a total of 3878 paired data), to evaluate the yield, water input, greenhouse gas emissions, and cost and net return with five major tillage/crop establishment options. Shifting from transplanting to direct-seeding was advantageous but the change from conventional to zero or reduced tillage reduced yields. Direct-seeded rice under wet tillage was the best alternative with yield advantages of 1.3-4.7% (p < 0.05) and higher net economic return of 13% (p < 0.05), accompanied by savings of water by 15% (p < 0.05) and a reduction in cost by 2.4-8.8%. Direct-seeding under zero tillage was another potential alternative with high savings in water input and cost of cultivation, with no yield penalty. The alternative practices reduced methane emissions but increased nitrous oxide emissions. Soil texture plays a key role in relative yield advantages, and therefore refinement of the practice to suit a specific agro-ecosystem is needed.