Acid mine drainage (AMD), red mud (RM) and coal fly ash (CFA) are potential high environmental pollution problems due to their acidity, toxic metals and sulphate contents. Treatment of acidic mine water requires the generation of enough alkalinity to neutralize the excess acidity. Therefore, red mud types from Germany and Greece were chosen for the neutralization of AMD from South Africa, where this problem is notorious. Because of the high alkalinity, German red mud is the most promising precipitation agent achieving the highest pH-values. CFA is less efficient for a neutralization and precipitation process. An increase in temperature increases the adsorption kinetics. The maximum pH-value of 6.0 can be reached by the addition of 100 g German red mud at 20 °C to AMD-water with an initial pH value of 1.9. German red mud removes 99% of the aluminium as aluminium hydroxide at pH 5.0. The rare earth elements (yttrium and cerium) are adsorbed by Greek red mud with an efficiency of 50% and 80% at 60 °C in 5 min, respectively.