Fe3O4 has the advantages of unique magnetic stability and low biological toxicity, which can improve pollutants separation efficiency. MXenes are two-dimensional materials and easy surface functionalization that can provide suitable carriers for Fe3O4. In this work, we synthesized magnetic MXene composites by a one-pot method that relies on doping Fe3O4 particles onto Ti3C2 MXene nanosheets by heat treatment. The Fe3O4/Ti3C2 MXene was analyzed by SEM, XRD, FTIR and XPS techniques, which showed that the material has good tetracycline (TC) removal properties and magnetic separation ability. The results showed that the adsorption capacity of it was 46.42 mg g−1, and the removal efficiency of 0.06 g adsorbent for 50 mL of 30 mg L−1 TC could reach 92.1% in a wide pH range of 4–10, when the adsorption temperature was 25 °C, and the adsorption time was 3 h. The adsorption data were consistent with Langmuir and the proposed second-order kinetic model, and the thermodynamic experiments confirmed that the adsorption of TC was a monolayer physicochemical adsorption coexisting heat-trapping process (ΔH = 15.72 kJ mol−1). In addition, the adsorption of TC by Fe3O4/Ti3C2 MXene was attributed to the synergistic effect of electrostatic attraction, hydrogen bonding and π-π packing. In conclusion, the saturation magnetization of Fe3O4/Ti3C2 MXene is 27.3 emu/g and it can not only be separated from water using its strong magnetic properties to avoid secondary contamination, but also can be used as a promising material to effectively remove antibiotics from aqueous media.