Heterogeneous catalytic ozonation shows great promise for advanced wastewater treatment, yet powdered catalysts face practical limitations of poor recoverability and low matrices interference resistance. To address this, we developed a reusable monolithic MgMnO
3@CM catalyst by anchoring active MgMnO
3 components onto lightweight centimeter-scale ceramsite (CM) via impregnation-assisted sol-gel method. The morphology and electronic structure of MgMnO
3 shell was modulated by controlling the concentrations of Mg and Mn precursor, and an active interpenetrating-network configuration was achieved. This unique shell architecture and interfacial interactions endowed MgMnO
3@CM with exceptional mass transfer channels and redox properties, enabling superior catalytic ozonation of refractory sulfamethoxazole (SMZ). The catalyst achieved a high reaction rate constant (0.266 min
-1) and increased mineralization efficiency from 22.5±1.0% to 69.4±1.4%. Crucially, a MgMnO
3@CM-packed filter maintained an average SMZ rejection of 93.5% across diverse coexisting matrices (mg/L level) during continuous 12-hour operation, demonstrating sustainable potential for treating real freshwater and marine aquaculture wastewater. Mechanistic studies revealed MgMnO
3@CM modulated surface atomic oxygen (*O)-driven non-radical oxidation pathways. This work provides a green engineering strategy for designing efficient, waste-free catalytic systems to support sustainable aquaculture.