Acid mine drainage (AMD) is a persistent and problematic source of water pollution. Cotreatment with municipal wastewater (MWW) at existing wastewater treatment plants (WWTPs) has several advantages; however, potential impacts on downstream physicochemical and biological processes are not completely known. This bench-scale study examined the impact of co-treatment by combining a mild AMD at various ratios with MWW, followed by sludge settling and supernatant comparative analysis by a variety of effluent water quality parameters. These measurements were combined with carbonate system and adsorption isotherm modeling to elucidate the mechanisms underlying the experimental results. AMD addition decreased MWW effluent PO4 3concentrations by up to 90%, demonstrating co-treatment as a low-cost solution for MWW nutrient removal. Coagulation from metals in AMD was incomplete due to PO4 3adsorption, confirmed by comparing experimental results with Langmuir isotherm behavior. Sweep flocculation was the dominating particle aggregation mechanism, and co-treatment led to improved particle clarification outcomes. Carbonate system modeling adequately explains pH effects, and can A u t h o r P r e p r i n t 1 also be applied to varying AMD matrices. The impact of AMD addition on the MWW microbial community was also investigated which provided evidence of microbial adaptation. This study demonstrates post-aeration co-treatment enables mitigation of mild AMD without adversely affecting WWTP processes. Reported results also frame required future studies to address extant questions prior to full-scale adaptation. Highlights • Addition of mild AMD to a secondary wastewater treatment processes examined • Co-treatment removed >90% of PO4 3in wastewater via adsorption • Coagulation of iron particles incomplete, dominated by sweep flocculation • Secondary settling improved at highest drainage dosages • Minor impact to microbial oxygen consumption rates, with adaptation noted.