This study employs a numerical computation model based on a municipal solid waste (MSW) incinerator in Nanning to investigate the impact of different sewage sludge (SS) co-combustion ratios and MSW incinerator temperatures on combustion efficiency. Using the FLUENT simulation method, this study systematically analyzes the distribution characteristics of the temperature field, velocity field, and pollutant concentration field within the furnace under various SS mixing ratios (5%, 7%, 10%, and 15%) and MSW incinerator temperatures (800 K, 1000 K, and 1200 K). The simulation results indicate that the combustion efficiency was optimal at an MSW incinerator temperature of 800 K, where the co-combustion of SS with MSW mixed effectively, leading to a stable and efficient combustion process. Furthermore, an SS co-combustion ratio of 7% was identified as the most effective in maintaining high combustion efficiency. These findings contribute to the optimization of co-combustion strategies for MSW and SS, enhancing both operational efficiency and environmental compliance.