ABSTRACT The addition of powdered activated carbon (PAC) in advanced wastewater treatment is increasingly recognized for its effectiveness in removing micropollutants from secondary effluents. This study investigates the implications of PAC dosing on treatment performance, particularly in terms of natural and effluent organic matter (OM) removal, turbidity reduction, and sludge characteristics. Results indicate that while PAC incorporation significantly enhances the adsorption of OM, it necessitates higher coagulant dosages to achieve comparable or improved turbidity levels. The study also reveals that lower pH levels facilitate the removal of OM, thereby increasing the availability of adsorption sites on PAC for micropollutants. Moreover, PAC addition results in the formation of larger, denser flocs that settle faster, leading to a reduction in sludge volume by approximately 20%. However, the increased coagulant demand and the subsequent rise in sludge volume highlight the need for the optimized process design to balance treatment efficiency with operational costs. This research provides valuable insights for the design and operation of wastewater treatment plants, emphasizing the importance of tailored coagulant dosing and process adjustments when integrating PAC into existing treatment frameworks.