Population growth in rural Canada has resulted in an increase in municipal septage generation, which could overload existing treatment facilities that rely on biological treatment approaches. To address concerns associated with potential shock loading of these systems, three semi-passive wastewater treatment technologies were compared at the pilot-scale to identify a suitable approach to augment the capacity of an existing wastewater stabilization pond facility in rural Ontario. Two of these technologies, the BioDome and BioCord systems, were commercially available systems that make use of biofilm technology to improve treatment performance and enhance the robustness to temperature and hydraulic loading fluctuations. The third approach involved the use of the natural filtration capacity of zebra mussels to improve effluent quality. The three technologies were assessed against a control for reductions in regulated wastewater parameters with an emphasis on nutrient (ammonia/ammonium, orthophosphate) reductions, air cycling, energy consumption, and performance following exposure to anoxic conditions. The BioCord system was the only technology that was found to significantly outperform the control, exhibiting reductions of 69%, 47%, 77% and 81% for NH3/NH4+, TN, COD and TSS, respectively. The BioCord system also had the lowest maintenance and energy requirements, likely due to its design, which provided the biofilm with optimal oxygen and substrate contact. Consequently, the BioCord system could develop a more stable, heterogeneous microbial population and maintain high levels of activity in its biofilm, even during periods of extended anaerobic conditions. This also suggested that the BioCord system would require less aeration, and hence a lower energy expenditure, than the other systems. Furthermore, the BioCord system showed the fastest rates of recovery, reaching significant levels of parameter reductions within one week of system re-initiation.