Sulfide-mining wastes may lead to severe environmental and human health risks, especially challenging in abandoned mines without environmental regulation. This work is aimed at discussing the environmental problems associated with this type of wastes, the risks posed by metal(loid) exposure to living organisms, as well as the measures available to mitigate such risks, taking the case of the Iberian Pyrite Belt (SW Iberian Peninsula), as an example, worldwide. The release of metal(loid)s from these wastes upon weathering is strongly controlled by mineral assemblage, processing technique, grain size distribution, and occurrence of highly reactive secondary minerals. Exposure to these wastes may pose a severe risk for humans and animals, and thus, remediation measures must be adopted in abandoned mines. Among these measures, recovery of valuable metals from sulfide wastes could be a promising environmentally friendly solution; however, grade and mineralogical siting of valuable metals, as well as selective recovery methods, must be site-by-site investigated.