Co-treatment of acid mine drainage (AMD) and municipal wastewater (MWW) using the activated sludge process is an innovative approach to AMD remediation that utilizes the alkalinity of MWW and the adsorptive properties of the wastewater particulates and activated sludge biomass to buffer acidity and remove metals. The capacity of these materials to treat AMD was investigated in batch mode metal removal tests using high-strength synthetic AMD (pH 2.8, Al 120-200 mg/L, Cu 18-30 mg/L, Fe 324-540 mg/L, Mn 18-30 mg/L, and Zn 36-60 mg/L). Using material from a range of MWW treatment plants, the performance of screened and settled MWW, activated sludges with mixed liquor suspended solids (MLSS) concentrations of 2.0 and 4.0 g/L, and return activated sludges with 6.0 and 7.4 g/L MLSS were compared. Similar trends were observed for the MWW and activated sludges, with removal efficiency generally decreasing in the order Al = Cu > Mn > Zn > Fe. Trends in Fe removal using settled MWW and activated sludges were highly variable, with removal < 30 %. Using activated sludges, average removal efficiencies for Al, Cu, Mn, and Zn were 10-65 %, 20-60 %, 10-25 %, and 0-20 %, respectively. Sludge solids concentration was an important controlling factor in metal removal, with removal of Al, Cu, Mn, and Zn increasing significantly with solids concentration. Municipal wastewaters had greater neutralization capacities than activated sludges at high AMD loading ratios. Mixing AMD with screened MWW gave the highest removal efficiency for all metals, achieving average removal of 90-100 % for Al, Cu, and Fe, 65-100 % for Zn, and 60-75 % for Mn. These empirical findings are useful for developing process design parameters in co-treatment systems. Utilizing MWW and activated sludge to remediate AMD can potentially reduce materials and energy requirements and associated costs.