Ciprofloxacin (CIP) can be strongly adsorbed by ferric oxides, but some influencing factors, such as multivalent cations and soil organic matter, have not been evaluated extensively. In this study, the interaction between CIP and four divalent metals (Ca, Cd, Cu, and Pb) was investigated using potentiometric titration and the results indicated that CIP can bind to the divalent metals in the following affinity order: Cu(II) > Pb(II) > Cd(II) > Ca(II). The effects of metals and fulvic acid (FA) on the adsorption behavior of CIP onto goethite surfaces were also examined using batch experiments. It was found that metal cations enhanced the CIP retention on goethite surfaces in the same order as the affinity order with CIP, indicating that metals likely increased CIP retention through cation bridging. FA was found to promote CIP sorption rather than compete with it, and the coexistence of FA and Cu(II) in the system exhibited an addictive effect with CIP sorption, indicating that they might influence the sorption separately under the studied loading condition. Taken together, our results suggested that the coexistence of divalent cations or soil organic matter will enhance CIP sorption on goethite surfaces, hence reducing its mobility and bioavailability in the environment.