China's carbon emission trading policy plays a crucial role in achieving both its “3060” dual carbon objectives and the United Nations Sustainable Development Goal 13 (SDG 13) on climate action. The policy's effectiveness in reducing pollution and mitigating carbon emissions holds significant importance. This paper investigated whether China's carbon emission trading policy affects pollution reduction (PM2.5 and SO2) and carbon mitigation (CO2) in pilot regions, using panel data from 30 provinces and municipalities in China from 2005 to 2019 and employing a multi-period difference-in-differences (DID) model. Furthermore, it analyzed the heterogeneity of carbon market mechanisms and regional variations. Finally, it examined the governance pathways for pollution reduction and carbon mitigation from a holistic perspective. The results indicate that: (1) China's carbon emission trading policy has reduced CO2 emissions by 18% and SO2 emissions by 36% in pilot areas, with an immediate impact on the “carbon mitigation” effect, while the “pollution reduction” effect exhibits a time lag. (2) Higher carbon trading prices lead to stronger “carbon mitigation” effect, and larger carbon market scales are associated with greater “pollution reduction” effects on PM2.5. Governance effects on pollution reduction and carbon mitigation vary among pilot regions: Carbon markets of Beijing, Chongqing, Shanghai, and Tianjin show significant governance effects in both “pollution reduction” and “carbon mitigation”, whereas Guangdong's carbon market exhibits only a “pollution reduction” effect, and Hubei's carbon market demonstrates only a “carbon mitigation” effect. (3) Currently, China's carbon emission trading policy achieves pollution reduction and carbon mitigation through “process management” and “end-of-pipe treatment”. This study could provide empirical insights and policy implications for pollution reduction and carbon mitigation, as well as for the development of China's carbon emission trading market.