This study evaluated the ability of hydrous ferric oxide reactive filtration (HFO-RF) to remove mercury (Hg) from municipal secondary effluent at four study sites. Pilot HFO-RF systems (136 m /day) at two sites demonstrated total Hg concentration removal efficiencies of 96% (inflow/outflow mean total Hg: 43.6/1.6  ng/L) and 80% (4.2/0.8 ng/L). A lightly loaded medium-scale HFO-RF system (950 m /day) had a concentration removal efficiency of 53% (0.98/0.46 ng/L) and removed 0.52 mg/day of total Hg and 2.2 μg/day of methyl-Hg. A full-scale HFO-RF system (11,400 m /day) yielded a total Hg concentration removal efficiency of 97% (87/2.7 ng/L) and removed an estimated 0.36 kg/year of Hg. Results suggest that the quality of secondary effluent, including dissolved organic matter content, affects achievable minimum total Hg concentrations in effluent from HFO-RF systems. Low HFO-RF effluent concentrations (<1 ng/L) can be expected when treating secondary effluent from suspended-growth biological treatment systems. PRACTITIONER POINTS: Trace levels of mercury in municipal secondary effluent can negatively impact receiving waters. Hydrous ferric oxide reactive filtration (HFO-RF) can remove mercury from municipal secondary effluent to levels below the Great Lakes Initiative discharge standard of 1.3 ng/L. Mercury removal to low concentrations (< 1 ng/L) using HFO-RF appears to be associated with secondary effluents with low dissolved organic matter content. HFO-RF can also remove total phosphorus and turbidity to low concentrations.