This paper presents a sustainable method for using iron ore tailings (IOTs) sand and recycled coarse aggregate (RCA) in concrete and concrete-filled steel tube (CFT) columns. The study first examines the impact of RCA replacement ratios (0 %, 50 %, 100 %) on concrete's mechanical properties, finding that both compressive and tensile strengths decrease with higher RCA content due to the negative effects of old interfacial transition zones and adhered cement in RCA. Then, twelve iron tailing and recycled aggregate concrete-filled steel tube (ITRAC-CFT) columns were tested under eccentric compression to assess the effects of varying RCA replacement ratios, eccentricity ratios (0.3, 0.5), and slenderness ratios (12.12, 19.05). Results indicate that RCA ratios have minimal impact on failure modes, ultimate bearing capacity, and stiffness, although ductility increases with higher RCA content. As slenderness ratios increase, the ultimate bearing capacity decreases by 5.3 % and 6.8 % for eccentricities of 0.3 and 0.5, respectively. The study further validates these findings through the finite element method (FEM), showing strong agreement between experimental and predicted results, average value, standard deviation, and coefficient of variation of Nu/NFE were 1.02 %, 0.04, and 3.92 %, respectively. Finally, a comparison with existing design codes (EC4, AISC 360, and GB 50396) reveals that AISC 360 provides the most accurate predictions of the ultimate bearing capacity of ITRAC-CFT columns. The research concludes that the comprehensive use of IOTs sand and RCA in CFT structural concrete is a highly viable and eco-friendly solution, offering potential benefits for sustainable construction practices.