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Iron (Fe)-based chemically enhanced primary sedimentation (CEPS) is an effective process used to remove organic and phosphorus (P) pollutants from wastewater into sludge. In this study, electro-fermentation (EF) technology was developed to treat the organic- and P-rich Fe-sludge for the purposes of sludge reduction and resource recovery. Using a two-chamber bioreactor with a cation exchange membrane and an exterior voltage (0.5–1.0 V) for sludge treatment, the EF system enabled product accumulation and separation during the fermentation process. Compared with the conventional fermentation in a single-chamber reactor, the EF treatment of Fe-sludge significantly improved the efficiency of P dissolution from the sludge from 8% to 56% after 4 d. Meanwhile, about 70% of released ammonium ions and 50% of Fe in the sludge were driven by the current from the sludge suspension into the cathode …