Wastewater treatment plants (WWTPs) are a major discharge pathway for engineered nanoparticles (ENPs) that can potentially impact aquatic systems, making it crucial to understand ENP behavior in these facilities. In this study, we developed a fate model for titanium dioxide (TiO2) nanoparticles (NPs) to predict their removal efficiency (RE) in activated sludge (AS) systems. The model, based on material balance equations for free and sludge-attached TiO2 NPs, incorporated a linear-adsorption partition coefficient (Kd) and pseudo-second-order kinetics for TiO2 NP attachment to the activated sludge. Validated with data from three WWTPs, the model investigated RE correlations with inflow TiO2 NP concentration, sludge retention time (SRT), hydraulic retention time (HRT), mixed liquor suspended solid (MLSS) concentration, and water temperature. The model reasonably predicted the comparative performance of the WWTPs but underestimated the RE by up to ∼29 %, probably due to system simplification, limited Kd data, the presence of other Ti-containing NPs besides TiO2 NPs, and unincorporated removal mechanisms such as sweeping in the secondary clarifier. The model revealed favorable design/operating conditions for increasing the TiO2 NP RE of the AS system: shortening the SRT, increasing the MLSS concentration, and increasing the water temperature. The developed model could be useful for estimating and comparing the expected TiO2 NP REs across different WWTPs under varying operating conditions or for tracing the material flow and fate of TiO2 NPs in environmental compartments involving WWTPs, both regionally and country-wide.