In the context of achieving the two-carbon target, this study utilized a wastewater treatment plant in Shenyang City as a case study to accurately calculate indirect emissions related to energy and chemical consumption within the energy-intensive wastewater treatment industry. Sumo software was employed for precise mathematical modeling. Considering the operational characteristics of wastewater treatment plants in cold regions, this study innovatively divided the annual operation cycle into two periods, namely normal temperature and low temperature, and determined the optimal operational parameters under a low-carbon mode. The results indicate that precise regulation of dissolved oxygen concentration to 0.5–1.5 mg/L (normal temperature period) and 1–2 mg/L (low temperature period) can significantly reduce carbon emissions related to electricity consumption by 13,781.9 t CO2-eq. From the perspective of chemical consumption, adjusting the dosage of polyaluminum chloride (PAC) to 75% and sodium acetate to 70% during the normal temperature period can lead to a reduction in indirect carbon emissions of 1614.4 t CO2-eq compared to the same period last year. During the low-temperature period, by reducing the dosage of polyaluminum chloride to 80% and sodium acetate to 75%, the indirect carbon emissions can be reduced by 1557.3 t CO2-eq compared to the corresponding period last year. After optimization, USD 1.49 million can be saved. This study simulated the operation conditions of cold-region urban wastewater treatment plants at different times to effectively control carbon emissions resulting from energy and chemical consumption in wastewater treatment. This result can provide innovative ideas for energy saving and carbon reduction in cold-region wastewater treatment plants.