The treatment of heavy metals in sewage treatment systems has gained more attention with the increase in heavy metal hazards. Tubificidae in sludge reduction have been widely studied; however, little is known about the effect of Tubificidae in the treatment of Cr-containing wastewater. In this study, the mechanism of Tubificidae in the sludge reduction system with Cr stress was studied. Predation experiments by Tubificidae in a Cr-containing sludge reduction system were conducted to investigate the changes in enzyme activities in the Tubificidae under different concentrations of Cr, and the distribution of Cr in the sludge reduction reactor was analyzed. The kinetic model of uptake and elimination of Cr in Tubificidae was established. The results showed that the maximum activation multiplier factor of superoxide dismutase (SOD) activity was 1.95 under the low concentration of Cr(VI), which indicated that Tubificidae had a certain detoxification. After the effect of Tubificidae on Cr(VI) experiments, the Cr concentrations in Tubificidae, sludge, and feces increased first and then decreased with exposure time, and the proportion of total Cr and Cr(VI) in the sludge decreased from 71.98% and 42.7% to 29.18% and 6.82%, respectively. The detoxification mechanism of the Tubificidae could be activated with Cr stress, and 63.22% of the Cr(VI) was converted to Cr(III). The bioconcentration factor (BCF) for theoretical equilibrium was 446, the maximum bioaccumulation factor (BAF) reached 0.97 on the 15th day. It can be seen that Tubificidae could be considered a good scavenger of environmental Cr(VI). The hyperbolic model fits the process of Cr uptake and elimination well and can be used as a predictive tool for Tubificidae accumulation.