Monothioarsenate (MTAsV) is one of the major arsenic species in sulfur- or iron-rich groundwater, and the sediment adsorption of MTAsV plays an important role in arsenic cycling in the subsurface environment. In this study, batch experiments and characterization are conducted to investigate the sorption characteristic and mechanism of MTAsV on natural sediments and the influences of arsenite and arsenate. Results show that MTAsV adsorption on natural sediments is similar to arsenate and arsenite, manifested by a rapid early increasing stage, a slowly increasing stage at an intermediate time until 8 h, before finally approaching an asymptote. The sediment sorption for MTAsV mainly occurs on localized sites with high contents of Fe and Al, where MTAsV forms a monolayer on the surface of natural sediments via a chemisorption mechanism and meanwhile the adsorbed MTAsV mainly transforms into other As species, such as AlAs, Al-As-O, and Fe-As-O compounds. At low concentration, MTAsV sorption isotherm by natural sediments becomes the Freundlich isotherm model, while at high concentration of MTAsV, its sorption isotherm becomes the Langmuir isotherm model. The best-fitted maximum adsorption capacity for MTAsV adsorption is about 362.22 μg/g. Furthermore, there is a competitive effect between MTAsV and arsenate adsorption, and MTAsV and arsenite adsorption on natural sediments. More specifically, the presence of arsenite greatly decreases MTAsV sorption, while the presence of MTAsV causes a certain degree of reduction of arsenite adsorption on the sediments before 4 h, and this effect becomes weaker when approaching the equilibrium state. The presence of arsenate greatly decreases MTAsV sorption and the presence of MTAsV also greatly decreases arsenate sorption. These competitive effects may greatly affect MTAsV transport in groundwater systems and need more attention in the future.