In water-rich sandy strata, deep excavations necessitate dewatering within the excavation site, leading to significant groundwater drawdowns and surface subsidence behind walls, which can result in severe damage to adjacent buildings. Nonetheless, the individual impacts of soil removal and dewatering in such permeable sandy formations on building responses remain ambiguous,with scant reported protective experience in literature. This study introduces a validated three-dimensional fluid-solid coupling finite-element model to simulate the construction of an 18-19.8 m deep subway station in Nantong, China. Artificial recharge was applied to mitigate adverse effects on nearby buildings caused by drainage. The investigation explores the separate effects of soil removal, dewatering, and water recharging on the settlements of buildings with three different foundations (natural, raft, and piled footings). Additionally, the influence of post-recharging groundwater levels on building responses was scrutinized. The present findings indicate that discharging confined aquifers significantly contributes to building settlements, while artificial recharge can substantially reverse the deformations in buildings, especially those with natural and raft foundations. As excavation depth and the bearing capacity of the building foundation increase, the relative impact of soil removal on building settlements grows, whereas the influence of dewatering diminishes. Compared to enhancing foundation-bearing capacity, artificial recharge emerges as a more cost-effective strategy to safeguard pre-existing buildings near deep excavations in water-rich sandy strata, provided the post-recharging groundwater levels achieve a certain threshold.