Antimony (Sb) and arsenic (As) pollution in the water environment pose a threat to the ecological environment and human health. A lot of studies have been conducted on the removal of pollutants from water by modified biochar, but little attention has been paid to the simultaneous removal of Sb and As from water. This study aimed to simultaneously remediate the water contaminated by Sb and As and realize the resource utilization of solid waste. Herein, electrolytic manganese residue (EMR)-biochar composite (EB) was prepared by a one-step pyrolysis method using the mixture of EMR and distillers grains for the removal of As(III, V) and Sb(III, V) from water. The results indicated that the optimal pyrolysis temperature and EMR to distillers grains mass ratio for EB removal of As(III, V) and Sb(III, V) were 750 degrees C and 3:1, respectively. The removal of As(III, V) and Sb(III, V) by EB was inhibited to varying degrees by HCO3-, PO43-, and humic acid. The maximum adsorption capacities of EB for As(III), As(V), Sb(III), and Sb(V) were 40.92, 40.54, 34.36, and 9.42 mg/g, respectively. The main adsorption mechanisms of As(III, V) and Sb(III, V) included complexation, hydrogen bonding, and pore filling. Compared with other engineered biochar composites, EB can be utilized not only as a potential adsorbent to treat water contaminated with As(III, V) and Sb(III, V), but also to enable the hazard-free treatment and resource utilization of EMR and distillers grains, achieving the goal of treating pollution with waste. Future studies on the remediation performance and mechanisms of EB for practical Sb and As co-contaminated soil and water are necessary.