Abstract: Adequate removal of pollutants from sewage is important to protect the environment and public health. Today, sewage treatment plants are operational in many parts of the world, and although the used technologies are effective in removing pollutants from wastewater, they are energy- and resource-intensive. Reshaping sewage treatment into a two-stage system, with separated organic carbon and nitrogen removal, facilitates the transformation towards energy-positive sewage treatment. This thesis will focus on resource-efficient nitrogen removal from sewage via partial nitritation/anammox (PN/A), with reduced organic carbon and oxygen consumption compared to conventional techniques. PN/A relies on the teamwork between two microbial groups to convert ammonium into nitrogen gas. Several other groups of microbes however can proliferate in the sludge, competing for substrate with the key players, lowering the nitrogen removal efficiency and increasing the energy demand. To obtain the desired microbial community, control tools should be applied to selectively promote the desired microbes while suppressing the unwanted competitors. In this thesis, multiple control tools were studied to establish a workable framework for successful implementation of PN/A in the main stream of a sewage treatment plant. These tools can be divided into three categories: i) kinetic tools, regulating substrate availability (e.g., oxygen availability control and residual ammonium concentration), ii) physical tools, revolving around sludge retention and selection (e.g., sludge age control and sludge aggregation form), and iii) chemical tools, exposing the sludge to stress conditions for which the unwanted microbes are vulnerable (e.g., sludge treatments with a single stressor such as free ammonia). The first research chapter focussed on oxygen availability control and single-stressor sludge treatments. The following two chapters covered the development of a novel multi-stressor concept combining substrate starvation and exposure to sulphide and free ammonia. In the final research chapter, the previously obtained knowledge was combined into a demonstration study on pilot-scale. The combination of these control tools was found effective in achieving nitrogen removal via PN/A, both on lab- and pilot-scale. Consequently, the obtained results in this thesis can catalyse the implementation of mainstream PN/A by providing a toolbox with multiple control tools and clever reactor design, thus advancing the concept of energy neutrality and resource efficiency in sewage treatment plants.