The landfill mining process is a main source of anthropogenic bioaerosol release, posing potential risks to the health of occupationally exposed personnel and nearby residents. In this study, microbial aerosolization behavior and potential pathogenicity during the landfill mining process were systematically investigated. The highest concentration of bacterial aerosols was measured in the refuse mining area, with a value of 5968 ± 1608 CFU/m3, while the highest concentration of fungal aerosols was 1196 ± 370 CFU/m3 in the refuse screening area. The bacterial and fungal aerosols were distributed primarily in the particle size ranges of 4.7–7.0 µm and > 7.0 µm, respectively. The pathogenic microbes Arthrobacter, Bacillus, Arthrobotrys and Aspergillus had high bioaerosol aerosolization capacities, with aerosolization indices of 100–329, 31–62, 2–14 and 1–11, respectively, when released from mineralized refuse. There are more than 100 types of pathogenic bacteria in bioaerosols. The microorganisms Lysobacter, Luteimonas and Mycolicibacterium, which carry virulence factor genes (VFGs) (pilG, Rv0440, pilT, etc.), can spread VFGs, aggravate bioaerosol pollution, and threaten the health of workers and nearby residents. This research will help further the understanding of bioaerosol contamination behaviors and potential pathogenicity risks from landfill mining activities.