BACKGROUND: Antimony is a toxic and potentially carcinogenic metalloid widely used in industry, whose untreated wastewater could lead to water body pollution. Antimony-reduced species tend to precipitate in the form of minerals. The biological reduction of antimonate to antimonite occurs under anaerobic conditions by two extracellular pathways: dissimilatory biological reduction and reaction with dissolved H 2 S in sulfate-reducing systems. The objective of this study was to determine antimonate removal from synthetic wastewater by dissimilatory and sulfate-reducing pathways in anaerobic packed bed reactors. RESULTS: The average antimony removal was 28.4% and 58.8% for the dissimilatory and sulfate-reducing processes, respectively. At the end of the experiment, X-ray diffraction analysis demonstrated the presence of valentinite in the dissimilatory reactor, and struvite, valentinite, and kermesite in the sulfate-reducing reactor, being a crystal form resulting from stibnite oxidation by exposure to environmental conditions. Phylogenetic analysis showed the presence of genera Geobacter and Pseudomonas, associated with the dissimilatory reduction, and a high abundance of sulfate-reducing bacteria in the sulfate-reducing reactor. In the dissimilatory reactor, there was a dominance of the genus Dysgonomonas, which could play a key role in the redox transformation of the metalloid. CONCLUSION: Antimony removal has been obtained in dissimilatory and sulfate-reducing processes. Valentinite was observed in the dissimilatory reactor, and struvite, valentinite, and kermesite in the sulfate-reducing reactor. Phylogenetic analysis showed differences between both processes, with a possible key genus acting in the antimony transformation.