This study investigated the associations between recycled manure solids (RMS) processing systems, used alone or in combination, on the presence of important pathogens affecting dairy cattle health. Our results showed that, when used as a stand-alone processing technique, anaerobic digestion or secondary processing methods (e.g. composting or drying), reduced the counts of mastitis pathogens, as well as reduced, but did not completely eliminate, the risk of Mycobacterium avium subspecies paratuberculosis and Salmonella spp. in ready-to-use recycled RMS samples. However, combining anaerobic digestion in combination with a secondary processing method led to the greatest reduction in mastitis pathogen counts, and completely eliminated Mycobacterium avium subspecies paratuberculosis and Salmonella spp. in RMS samples. Further research is needed to confirm these findings, to assess cost-benefit, and to examine how different processing system combinations may influence the presence of other pathogens significant to animal health.