The development of widely sourced and efficient adsorbents is crucial for the adsorption of lead from wastewater. A novel adsorbent, N-doped weathered coal (NWC), was prepared in this study using weathered coal as the precursor and triethylenetetramine (TETA) as the N-source. The adsorption performance and behavior of Pb(II) on NWC were investigated using batch adsorption experiments. The results demonstrated that NWC has an efficient adsorption performance towards Pb(II), with a maximum monolayer adsorption capacity of 216.32 mg g−1 (25 °C). The adsorption process was spontaneous and endothermic, and the importance of chemisorption was observed. The adsorption mechanisms of NWC were also analyzed based on its physicochemical structure before and after the Pb(II) adsorption and desorption experiments. The N and O functional groups, acting as electron donors, promoted coordination with Pb(II), making complexation the dominant mechanism. Its contribution to the adsorption mechanism could reach 44.81%. NWC is a promising material for both wastewater treatment and the resource utilization of weathered coal.