Water pollution induced by the tetracycline (TC) has caused global increasing attention owing to its extensive use, environmental persistence, and potential harm for human health. Adsorption and advanced oxidation processes (AOPs) have been promising techniques for TC removal due to ideal effectiveness and efficiency. Magnetic composites (MCs) which exploit the combined advantages of nano scale, alternative sources, easy preparation, and separation from wastewater are widely used for catalysis and adsorption. Herein, we intensively reviewed the available literature in order to provide comprehensive insight into the applications and mechanisms of MCs for removal of TC by adsorption and AOPs. The synthesis methods of MCs, the TC adsorption, and removal mechanisms are fully discussed. MCs serve as efficient adsorbents and photocatalysts with superior performance of photocatalytic performance in TC degradation. In addition, the TC can be effectively decomposed by the Fenton-based and SO₄^•− mediated oxidation under catalysis of the reported MCs with excellent catalytic performance. Based on the existing literature, we further discuss the challenge and future perspectives in MCs-based adsorption and AOPs in removing TC.