A wastewater feed containing an ultimate BOD/COD ratio > 0.6 is well-suited for especially acclimated thermophilic and/or caldo-active living micro-organisms ("hot cells") which thrive in an autothermal aerobic (ATA) reaction zone having an ATA bioreactor ("ATAB") operating at substantially ambient atmospheric pressure in combination with a MF or UF membrane filtration device from which a solids-free permeate may be withdrawn. This combination, of ATAB and membrane device is a "membrane bioreactor" (ATA MBR), which operates autothermally with a feed containing biodegradable organic materials having a BOD of at least 5,000 mg/L, preferably at least 10,000 mg/L (10 g/L) with a minor portion of "municipal" wastewater or domestic sewage. Operation of the ATAB, preferably in the thermophilic range from 45°C - 75°C, with constant HRT from 1 to 12 days, is contingent upon maintaining a stable population of live hot cells. Such cells enhance the biokinetics of degradation and allow operation of the ATAB at higher COD loading and a lower concentration of TSS, than would be possible at a lower temperature. A surprisingly high membrane productivity allows production of much less sludge to be disposed of outside the system, than would have to be disposed of with a conventional mesophilic reactor in normal operation with a HRT of less than 24 hr. A combination of an MP MBR with an ATA MBR is highly effective when the MPB produces high BOD concentration mixed liquor for destruction by the ATAB.