An adsorption-coupling photocatalytic degradation system is a promising strategy for removing emerging pollutants with coexisting substances. Here, Fe-Bi3O4Br was designed and prepared via a hydrothermal method, which intensified tetracycline adsorption and reactive oxygen species formation originated from molecular oxygen. The improvements in adsorption and photocatalytic activity enhanced the generation and utilization of active species, leading to an increase of over 30 % in removal efficiency of tetracycline. Adsorption experiments proved that Fe doping optimized the specific surface area and the dominant crystal plane (020), which was beneficial for ion exchange adsorption of tetracycline. For photocatalytic degradation, the introduced Fe (Fe3+/Fe2+ redox pathway) acted as the reaction sites for molecular oxygen activation and as the enrichment sites for photogenerated electrons, leading to a lower recombination rate of photogenerated electrons and holes. With the influence of Fe doping, more ∙O2- (approximately 1.8 times) were produced for degradation. This study clarified the mechanism of Fe doping on pollutant adsorption and molecular oxygen activation for bismuth-rich materials, as well as a reference for antibiotic removal via adsorption coupling degradation.