Treatment of acid mine drainage (AMD) was successfully demonstrated using tobacco waste (dust and stem) as a metal cation adsorbent, pH modifier and carbon source for sulphate-reducing bacteria (SRB). Synthetic and industrial AMD wastewaters were used in batch adsorption and SRB facilitated bioremediation experiments. Up to absorbent loading of 80 g/L, metal removal increased. However, increases above 160 g/L did not offer a proportional increase. At an adsorbent loading of 80 g/L, the highest metal removals of 38, 41, 31 and 43% for iron, nickel, copper and zinc respectively were achieved. The iron data fitted well to the Langmuir adsorption isotherm while the Sips adsorption isotherm better-described nickel, copper and zinc adsorption to tobacco waste. SRBs used were able to use tobacco waste as a carbon source while reducing sulphates to metal sulphides in acid mine drainage. In the presence of SRBs, metal removals by both adsorption and sulphide precipitation were 95, 97, 70 and 93% for iron, nickel, copper and zinc, respectively. Copper, however, demonstrated lower removal yields in both adsorption and bioremediation. Bioremediation improved acid mine drainage pH by 2.05 units. The exponential decay function could model both the metal and sulphate removal perfectly. It was concluded that tobacco waste can be confidently used as an adsorbent and carbon source for sulphate-reducing bacteria while facilitating AMD biological treatment.