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The influence of ultrasound (US) and potassium permanganate (KMnO4) co-pretreatment on anaerobic digestion of waste activated sludge (WAS) was investigated in this survey. Results showed that KMnO4 (0.3 g/g TSS) cooperated with US (1 W/mL, 15 min) pretreatment significantly increased the cumulative methane yield to 174.44 ± 3.65 mL/g VS compared to the control group (108.72 ± 2.56 mL/g VS), solo US (125.39 ± 2.56 mL/g VS), and solo KMnO4 pretreatment group (160.83 ± 1.61 mL/g VS). Mechanistic investigation revealed that US combined with KMn