This document outlines 3 approaches to building an artificial kidney: 1) A wearable artificial kidney called a "Kidney-on-a-Belt" that filters blood through a small dialyzer while allowing mobility, 2) A "Cyborg Kidney" the size of a coffee cup containing living kidney cells in a bioreactor to perform metabolic functions, and 3) A "Dark Horse Kidney" in development using ultrathin silicon membranes for continuous nano-filtration and drainage into the bladder to free patients from dialysis machines forever.