The continued increase in the global demand for oil, which reached 4,488 Mtoe in 2018, leads to large quantities of petroleum products entering the environment posing serious risks to natural ecosystems if left untreated. In this study, we evaluated the impact of co-contamination with lead on the efficacy of two bioremediation processes, natural attenuation and biostimulation of Total Petroleum Hydrocarbons (TPH) as well as the associated toxicity and the changes in the microbial community in contaminated soils. The biostimulated treatment resulted in 96% and 84% reduction in TPH concentration in a single and a co-contamination scenario, respectively, over 28 weeks of a mesocosm study. This reduction was significantly more in comparison to natural attenuation in a single and a co-contamination scenario, which was 56% and 59% respectively. In contrast, a significantly greater reduction in the associated toxicity of in soils undergoing natural attenuation was evident compared with soils undergoing biostimulation despite the lower TPH degradation when bioassays were applied. The earthworm toxicity test showed a decrease of 72% in the naturally attenuated toxicity versus only 62% in the biostimulated treatment of a single contamination scenario. In a co-contamination scenario, toxicity decreased only 30% and 8% after natural attenuation and biostimulation treatments, respectively. 16s rDNA sequence analysis was used to assess the impact of both the co-contamination and the bioremediation treatment. NGS data revealed major bacterial domination by Nocardioides spp., which reached 40% in week 20 of the natural attenuation treatment. In the biostimulated soil samples, more than 50% of the bacterial community was dominated by Alcanivorax spp. in week 12. The presence of Pb in the natural attenuation treatment resulted in an increased abundance of a few Pb-resistant genera such as Sphingopyxis spp. and Thermomonas spp in addition to Nocardioides spp. In contrast, Pb co-contamination completely shifted the bacterial pattern in the stimulated treatment with Pseudomonas spp. comprising approximately 45% of the bacterial profile in week 12. This study confirms the effectiveness of biostimulation over natural attenuation in remediating TPH and TPH-Pb contaminated soils. In addition, the presence of co-contaminants (e.g. Pb) results in serious impacts on the efficacy of bioremediation of TPH in contaminated soils, which must be considered prior to designing any bioremediation strategy.