The long-term and stable removal of thallium (Tl) from industrial wastewater generated by mining and smelting operations remains challenging. While sand filters are commonly applied for the simultaneous removal of Mn(II) and other heavy metals, they have limited efficacy in treating Tl-contaminated wastewater. To address this gap, we operated a lab-scale Mn sand filter (MF) without added microorganisms to investigate the efficiency and mechanisms of Mn(II) and Tl(I) removal. Trends in effluent Mn(II) and Tl(I) concentrations indicated three operational stages: start-up, developing and maturation. Over time, the removal efficiency of Tl(I) gradually improved, plateauing at approximately 80 % eventually. Throughout operation, Tl(I) was sequestrated via surface complexation and ion exchange. Besides, enrichment of Sphingobium and other typical manganese oxidizing microorganisms (MnOM) during operation facilitated Mn(II) and Tl(I) oxidation and sequestration by generating biogenic manganese oxides (BioMnOx). Additionally, the accurate control of water quality and operating conditions during operation could also enhance removal efficiency. In summary, physicochemical actions of Mn oxides and biochemical actions of microorganisms synergistically contributed to the sequestration of Mn(II) and Tl(I). These findings provided a novel and sustainable method for the long-term and stable treatment of industrial wastewater containing thallium.