Effective pretreatment is essential for achieving long-term stable operation and high water recovery during the desalination of alternative waters. This study developed a process modeling approach for technical, economic, energetic, and environmental assessments of pretreatment technologies to identify the impacts of each technology treating brackish water desalination brine with high scaling propensity. The model simulations evaluated individual pretreatment technologies, including chemical softening (CS), chemical coagulation (CC), electrocoagulation (EC), and ion exchange (IX). In addition, combinations of these pretreatment technologies aiming at the effective reduction of key scaling constituents such as hardness and silica were investigated. The three evaluation parameters in this assessment consist of levelized cost of water (LCOW, $/m³), specific energy consumption and cumulative energy demand (SEC|CED, kWh/m³), and carbon dioxide emissions (CO₂, kg CO_2-eq/m³). The case study evaluated in this work was the desalination brine from the Kay Bailey Hutchison Desalination Plant (KBHDP) with a total dissolved solids (TDS) concentration of 11,000 mg/L and rich in hardness and silica. The evaluation of individual pretreatment units from the highest to lowest LCOW, SEC|CED, and CO₂ emissions in the KBHDP brine was IX > CS > EC > CC, CS > IX > EC > CC, and CC > CS > EC > IX, respectively. In the case of pretreatment combinations for the KBHDP, the EC + IX treatment combination was shown to be the best in terms of the LCOW and CO₂ emissions. The modeling and evaluation of these pretreatment units provide valuable guidance on the selection of cost-effective, energy-efficient, and environmentally sustainable pretreatment technologies tailored to desalination brine applications for minimal- or zero-liquid discharge.