Remediation by a composite cover was implemented on partly oxidized sulfide-rich tailings in northern Ontario, Canada to reduce the production and release of acid mine drainage (AMD). The impact of the cover on sulfide oxidation rates and trace element mobility was initiated a decade after cover installation via multi-year measurements of pore-gas concentrations, pore-water and groundwater sampling and analysis, mineralogical studies of the tailings, selective chemical extractions, and synchrotron-based X-ray absorption experiments. Depleted pore-gas O2 concentrations, circumneutral pH, and improvement in water quality were observed at one detailed sampling location, suggesting that the cover decreased AMD generation and transport. Carbon and sulfur isotope ratios indicate sulfate reduction occurred at the base of the tailings. In contrast, near-atmospheric pore-gas O2 concentrations, low pH, and elevated aqueous concentrations of Fe, sulfate, Zn, Cu, As, and Pb were observed at another location, suggesting localized sulfide oxidation. Trace elements in the tailings are associated with secondary crystalline and amorphous Fe(III) oxyhydroxides, covellite, and Fe(III) hydroxysulfate phases, formed prior to cover installation. Substantial reductive dissolution of Fe(III) oxyhydroxides due to the isolation of the tailings from the atmosphere by the cover was not observed. Concentrations of Zn and Mn remained elevated due to limited sequestration under the current acidic to circumneutral pH. Although secondary Fe(III) oxyhydroxides contain As(V) and As(III), which were released by arsenopyrite oxidation, dissolved As persists. Due to localized sulfide oxidation, element remobilization, and limited capacity for sulfate reduction, diminished water quality, with elevated aqueous concentrations of sulfate, Zn, As, and Mn, may endure.