The terminal utilization of sewage sludge biochar (SSB) is nonnegligible and significant for sewage sludge (SS) treatment by pyrolysis. In this paper, a novel low-cost recyclable sludge biochar catalyst (SBC) that can be employed as a heterogeneous Fenton-like catalyst was prepared using SSB from SS pyrolysis in a pilot-scale platform for ciprofloxacin (CIP) degradation. The fabricated SBC was analyzed to characterize its surface micrographs, pore structures, and chemical composition. The catalytic effect of SBC on CIP degradation was also explored to determine the feasibility of using SBC to remove aquatic organic contaminants, and its degradation mechanism and pathway were also discussed. SBC can effectively remove CIP by adsorption and enhance the degradation of CIP by its catalytic effect. >80% of the CIP was removed at pH 4.0, and the antimicrobial activity of the resulting products was considerably reduced. The possible degradation mechanism is associated with the synergetic effect of adsorption and oxidative degradation. Oxidizing radical was generated from H2O2 by the activation of Fe2+ and Fe3+, which released from SBC, and HO was the dominant radical in CIP degradation. Piperazine ring cleavage, pyridine cleavage and hydroxylation, F/OH substitution, and defluorination were the dominant degradation pathways. The heavy metal risk assessment showed that SBC exhibits low environmental and ecological risk. This study provides a prospective method for high-value utilization of SSB and a novel and potentially low-cost catalyst for CIP removal from aqueous environments, which is significant for the terminal disposal of SS.