Hydro-biogeochemical processes control the formation and evolution of high arsenic (As) groundwater. However, the effects of nitrogen and sulfur cycles in groundwater on As migration and transformation are not well understood. Thus, twenty-one groundwater samples were collected from the Hasuhai basin. Hydrochemistry and geochemical modeling were used to analyze the geochemical processes associated with nitrogen and sulfur cycles. An arsenic speciation model (AM) and a sulfide-As model (SAM) were constructed to verify the existence of As species and the formation mechanism of thioarsenate. A hydrous ferric oxide (Hfo)-As adsorption model (HAM) and a competitive adsorption model (CAM) were used to reveal the adsorption and desorption mechanisms of As. The results showed that high arsenic groundwater (As > 10 μg/L) was mainly distributed under reductive conditions, and the highest concentration was 231.5 μg/L. The modeling results revealed that sulfides were widely involved in the geochemical cycle of As, with H₃AsO₃ and H₂AsO₃⁻ accounting for >70 % of the total As, and thioarsenate accounting for 30 %. S/As < 2.5 and S/Fe < l control the formation of thioarsenate. With the high correlation of NH₄⁺, TFe, sulfide, and TAs, the co-mobilization of N and S cycles may facilitate As enrichment in groundwater. A weak alkaline reduction environment triggered by the decomposition of organic matter was the main factor leading to the transfer of As from the aquifer to the groundwater. This research contributes to the development of high-As groundwater, and the findings are of general significance for drinking water in the Hasuhai Basin.