Controlling and remediating water and soil pollution while efficiently utilizing solid waste is essential for comprehensive environmental protection and sustainable development, particularly in establishing green, low‐carbon economic systems in China. We evaluate the impact of initial concentration, flow rate, and bed height on breakthrough performance and adsorption capacity using the Tessier method under dynamic water flow conditions. Additionally, we analyze micromorphological changes in the red mud–loess mixture before and after breakthrough by acid mine drainage containing Pb and Cd in mining areas, employing soil column experiments and numerical simulations with COMSOL Multiphysics. Our findings suggest that reducing initial concentration and flow rate while increasing bed height leads to higher breakthrough time, saturation time, and adsorption capacity for Pb and Cd in the red mud–loess mixture (7 : 3). Furthermore, the red mud–loess blend (7 : 3) demonstrates sustained and efficient acid‐buffering capability in the presence of acid mine drainage containing Pb and Cd. Notably, under specific conditions (initial Pb content at 100 mg/L, a height of 7 cm, and flow rate set at 1 mL/min), the adsorption capacity of red mud–loess (7 : 3) reaches 17.30 mg/g. The prescribed minimum length for PRBs is 11.40 cm. Under specified conditions (Cd concentrations at 100 mg/L, a height of 5 cm, and a flow rate of 1 mL/min), the material exhibits a notable adsorption capacity of 29.91 mg/g, with a theoretical minimum length for PRBs at 8.95 cm. Increasing bed heights successfully remove Pb and Cd ions through chemical precipitation. The BDST model accurately describes the breakthrough curves of Pb and Cd and develops a correlation formula for the breakthrough time of red mud–loess PRB medium. As the saturation of Pb increases from 0.05 to 0.85, the maximum volume adsorption capacity of Pb increases from 1.78 to 2.98 mg/L, while for Cd, it increases from 4.15 to 7.87 mg/L. Elevating the bed height first triggers chemical precipitation, hence improving Pb and Cd removal. Consequently, the longevity of red mud–loess PRB in acidic mine effluent containing Pb and Cd surpasses predicted theoretical outcomes. These observations reveal correlations between the breakthrough length for red mud–loess permeable reactive barriers and the bed height. Furthermore, the distribution of Pb speciation within the red mud–loess mixture (7 : 3) is primarily governed by the presence of iron–manganese oxide, while the composition of Cd speciation is chiefly influenced by the carbonate form and iron–manganese oxide. After treating acidic mine wastewater with Pb and Cd, the red mud–loess mixed material (7 : 3) undergoes surface changes, shifting from smooth to rough due to H+ corrosion. Pores between particles enlarge, yet heavy metal ions, adsorbates, and precipitates reoccupy and cover the surface, transforming the particle morphology from dense lamellar to clustered spherical. Our innovative approach to combining waste materials for environmental remediation presents a cost‐effective and impactful solution for heavy metal pollution.