The kinetics of silicate carbonation in aqueous solutions are typically sluggish, especially at neutral to alkaline conditions. This hampers the complete understanding of the mechanisms and parameters that control mineral carbonation during carbon capture and storage (CCS). Here we study the hydrothermal dissolution and carbonation of pseudowollastonite (psw; α-CaSiO3), one of the most reactive silicates known, under a range of geochemical conditions ranging from acidic to strongly alkaline pH, presence/absence of different background alkali metal ions and carbonate sources (K2CO3 and Na2CO3, pH ~13, or NaHCO3 and KHCO3, pH ~9). We show that in addition to amorphous silica precipitation, the formation of secondary Na + Ca- or K + Ca-silicates in the presence of Na+ and K+ background ions, respectively, fosters the progress of psw carbonation. However, the formation of Ca-containing secondary crystalline silicates and Ca-containing amorphous silica is shown to be a strong handicap for a fully effective carbonation. In all cases a higher conversion into CaCO3 (up to ~70 mol%) is achieved when using bicarbonate salts (i.e., lower initial pH). By using a reactor with a pressurized CO2-solution, with and without Na+ or K+ background ions, rapid and nearly complete conversion of psw with a CaCO3 yield ~92 mol% is achieved because, in addition to the initial low pH (~3.7) that favored α-CaSiO3 dissolution, abundant Ca-free non-passivating amorphous silica formed along with calcite. These results imply that the presence (e.g., use of sea water during CO2 injection or mixing with saline formation solutions) or the release of different alkali metal ions (e.g., after feldspar and/or basaltic glass dissolution) in combination with a reaction-induced pH increase during in situ CCS scenarios may strongly limit carbonation due to the capture of alkaline-earth metals in secondary silicates and a reduction in reaction rates. In turn, our results show that the high conversion achieved in pure CO2-aqueous systems, while relevant for ex situ CCS, may not reflect the actual conversion in multicomponent natural systems following reactive transport during in situ CCS. Moreover, the precipitation of secondary silicate and calcium carbonate phases have a direct cementing effect, which could be detrimental for in situ CCS, as it would likely reduce host rock permeability, but would be relevant and beneficial for the setting of novel CaSiO3-based non-hydraulic cements with reduced CO2 footprint.