Microbial fuel cell (MFC) with a modified anode is one of the new methods to increase MFC efficiency. This study synthesized an anode modified with cobalt manganese oxide (MnCo2O4@CF) on carbon felt (CF) by easy hydrothermal method and binder-free. Chemical oxygen demand (COD) was measured with and without diclofenac (DCF). According to SEM results, MnCo2O4 was uniformly dispersed on the anode electrode surface. Moreover, the maximum power density in COD (1000 mg/L), 48 h. condition without DCF (726 mA/m2) was 165 ± 0.012 mW/m2 and with DCF concentration of 20 mg/L, it was 308 ± 0.013 mW/m2 (992 mA/m2). In addition, in the presence of 10 mg/L DCF concentration, the maximum COD removal efficiency was 82% ± 1.93 at 48 h. COD removal efficiency without DCF was 94.67% ± 0.02 at 72 h. After 72 h, the maximum removal efficiency of COD and DCF in the carbon anode was 41% ± 1.15 and 9.5% ± 0.23, respectively. Moreover, the maximum DCF removal efficiency using a MnCo2O4 anode was 56% ± 0.55, at 48 h; the initial COD concentration was 500 mg/L, and the DCF concentration was 20 mg/L. This research showed that coating the anode with MnCo2O4 could lead to the increased growth of microorganisms on the surface of the anode, decreased load transfer resistance, increased power density, and more removal of COD and DCF. As a result, the performance of fuel cells with modified anode and removal of DCF increased compared to anode with CF-MFC. Thus, the performance of fuel cells with modified anode and removal of DCF increased compared to anode with CF-MFC.