To fully dispose of/utilize sewage sludge, a process combing hydrothermal pretreatment (HTPT), anaerobic digestion (AD) and pyrolysis was developed and tested at the pilot scale. First, the improvement in sludge dewaterability by HTPT at 180°C for 30min was verified, and the water content decreased from 85 to 33wt% after filter pressing. Then, the resulting filtrate underwent continuous mesophilic (37±2°C) AD in an up-flow anaerobic sludge bed (UASB) reactor for producing biogas to compensate for the energy required for HTPT. Meanwhile, the filter cake was pyrolyzed in a rotary furnace (600±50°C) to generate biochar, and heavy metals were well immobilized in the biochar. Finally, the material/energy balance made according to the pilot data showed that the proposed process was effective for full resource reuse of sewage sludge.