Human communities need water and mineral resources, the supply of which requires the implementation of recycling and saving strategies. Both closed and active mining sites could beneficiate of the implementation of nature-based solutions, including bioreactors involving sulphate-reducing prokaryotes (SRP), in order to separate and recover arsenic (As) and metals from aqueous stream while producing clean water. Selective precipitation strategies can be designed based on the selection of microbial communities adapted to the pH conditions, generally acidic, and to available low-cost electron donors. Laboratory batch and continuous experiments must be implemented for each type of mine water in order to determine the optimal flow-sheet in which As could be precipitated as sulphides (orpiment or realgar), inside the bioreactor or offline, through stripping of biologically produced hydrogen sulphides (H2S). The respective concentrations and proportions of As and metals and the initial acid mine drainage pH are key parameters that will influence the feasibility of efficient selective precipitation. SRP-based bioreactors could be combined with complementary treatment steps in optimised mine water management solutions that will minimise the production of As-contaminated end-solid waste.