This study is aimed to comprehend the treatment of non-submerged attached growth systems using bio-sponge, bio-cord, and bio-cloth media. Three reactors were set up with internal recirculation ratio of 1 (IR = 1) and similar media surface area. Bio-sponge and bio-cloth reactors showed removal of COD (79 vs. 76%) and NH4+–N (78 vs. 73%). While bio-cord treatment was deteriorated due to time-dependent process. Multiple linear regression revealed that alkalinity governed the formation degree of the anaerobic zone in bio-sponges, partially affecting nitrification. Increasing IR from 1 to 3 caused sloughing of the attached biomass and was positively correlated with effluent nitrite nitrogen concentration, indicating the sensitivity of nitrification to spatial distribution effects. In addition, bio-sponge system obtained superior performance at IR of 2 while bio-cloth one might be also an effective media for wastewater treatment if having good durability.