Soil aggregates organic matter (SAOM) is composed of free particulate organic matter (fPOM), intra-aggregate particulate organic matter (iPOM), and mineral-associated organic matter (mSOM), which are major antibiotic sorbents that play a significant role in the soil organic matter (SOM) turnover process. To date, the oxytetracycline (OTC) sorption and desorption behavior and mechanisms on SAOM have not been contrastively analyzed. SAOM organic components have been used to study scientific problems and to determine their influence on the fate and migration of OTC among the SOM turnover process. Results demonstrated that SAOM had great OTC sorption capacity ranging from approximately 12100–513,000 mg kg−1 and the desorption proportion was no more than 33.60%. The slow organic carbon pool (mSOM) had greater OTC accumulation capacity than the intermediate active pool (iPOM) and the active pool (fPOM), while OTC was more likely to reside in the active pool in wetlands (fPOM-w) and oil waste land (fPOM-o) than the organic carbon pool (mSOM-f) in farmland with human activity interference. The hysteresis was affected by SAOM's physical surface characteristics when the OTC initial equilibrium sorption concentration was higher than 200 mg L−1. When it was lower than that, it was affected by the organic carbon composition. Hydrogen bonds, electrostatic interactions, and π-π interactions dominated the SAOM-OTC interactions. The results of this study will be useful for evaluating the long-term behavior and migration of antibiotics in SOM turnover processes and could refine risk assessments of antibiotics contamination in soil environmental systems.