Abstract: This thesis provides three potential ways to enhance the nitrogen removal efficiency of mainstream partial nitritation/anammox (PN/A), a key technology to enable energy-positive sewage treatment. In Chapter 1, the typical technologies to promote nitrogen removal efficiency are summarized. In Chapters 2 and 3, the concept ‘winter bioaugmentation with stored summer surplus sludge’ is proposed. Applying that, a cost-effective sludge preservation strategy is required. Preserving PN/A biomass without cooling and redox adjustment proved to be the cost-effective strategy. The reactivation of these stored sludges was also tested in low-temperature systems (15 and 10℃). Respectively 56% and 41% of granules activity compared to pre-storage activity (after Arrhenius-based temperature correction) could be recovered within a month (41% and 32% for flocs activity). In the end, the stored AnAOB bioaugmentation was successfully validated in the lab (20℃). In Chapter 4, a return-sludge nursery concept, applying the sidestream nitritation and blending the resulting effluent with mainstream effluent to achieve an intermediate temperature and nitrogen concentrations, is proposed. That led to a 33 – 36% increase in nitrogen removal efficiency. Arrhenius’ expectations (10 ℃ higher temperature, θ = 1.09) could only explain 49-51% of the activity increase in the nursery reactor, pointing to the role of other factors, e.g., the ~400% elevated electrical conductivity (15-16%), the 56-335% higher effluent nitrogen concentrations (12-14%), and the synergy and unknown factors (20-23%). Thus, the return-sludge biostimulation approach could also enhance nitrogen efficiency in the mainstream. In Chapter 5, the N2O emissions, linked to three typical nitrite-oxidizing bacteria (NOB) suppression strategies (low dissolved oxygen (DO) level, free ammonia (FA), and free nitrous acids (FNA) treatments) were tested in a biofilm system. A low emerged DO level (~0.60 mg O2 L-1) was effective to suppress NOB activity and decrease N2O emissions, but NOB adaptation gradually appeared after 200 days. Further NOB inhibition was successfully achieved by periodical (3 hours per week) FA (~30 mg NH3-N L-1) or FNA (~3 mg HNO2-N L-1) treatments. The FA treatment promoted N2O production, while the FNA treatment had no effect. Thus, PN/A systems should be operated at relatively low DO levels with periodical FNA treatment. In Chapter 6, the major findings proposed and the main conclusions drawn in this thesis are outlined. Beyond that, the possible design of a mainstream PN/A configuration that combined all described three technologies is demonstrated. Overall, the novel insights from this thesis potential to improve nitrogen removal efficiency in the mainstream.