Extrusion technology is widely utilized in the rubber processing industry, with the extruder serving as the core equipment. As mixed rubber enters the extruder, it undergoes conveyance and plasticization, ultimately forming specific shapes and dimensions upon extrusion. The extruder head is a crucial component, playing a key role in achieving the final product’s required size and shape. Factors such as its structure, materials, and manufacturing processes significantly impact the efficiency, product quality, and sustainability of the extrusion process. However, prolonged operation leads to severe wear of the extruder head, adversely affecting rubber product quality. Additionally, extruder head processing poses challenges, with maintenance and repair being complex procedures. Therefore, exploring a wear-resistant, long-lasting metal material for the extruder head without compromising mixed rubber performance is essential. This study focuses on severely worn extruder head metal materials, comparing wear levels after friction with STELLITE 6 alloy, Hastelloy C-276 alloy, 38CrMoAlA, and tungsten carbide with composite rubber. Results show that compared to the NR/BR composite material after Hastelloy C-276 alloy friction, rubber Payne effect increased by 4.4% (38CrMoAl), 3.2% (STELLITE 6), and 4.6% (tungsten carbide). Similarly, rubber dispersion decreased by 9.4% (38CrMoAl), 4.7% (STELLITE 6), and 9.8% (tungsten carbide). Rolling resistance increased by 18.1% (38CrMoAl), 16% (STELLITE 6), and 23.4% (tungsten carbide). Friction coefficient increased by 3.5% (38CrMoAl), 2.8% (STELLITE 6), and 4.3% (tungsten carbide). Wear volume increased by 39.3% (38CrMoAl), 45.3% (STELLITE 6), and 48.9% (tungsten carbide). Specifically, using Hastelloy C-276 alloy as the extruder head metal material yields the best NR/BR composite material dispersion, highest ten times tear strength, excellent anti-wet skid resistance, and minimum rolling resistance. Conversely, using the other alloys results in varying reductions in the physical and mechanical properties of NR/BR composite materials. This research is crucial for improving rubber product quality and extending extruder head lifespan.