The three simulation factors caused various changes in both water and sediment. Responses to simulations differed with the reported natural lakes and wetlands. Al has dominant effects on sediment P release control among the three factors. Adding sediment Al can be effective and safe under the simulated conditions. Polyphosphates were not generated, while added phytate was rather stable. The effects of sediment aluminum (Al), organic carbon (OC), and dissolved oxygen (DO) on phosphorus (P) transformation, at the water-sediment interface of a eutrophic constructed lake, were investigated via a series of simulative experiments. The above three factors had various influences on dissolved P concentration, water pH, water and surface sediment appearance, and P fractions. Additions of Al had the greatest effect on suppressing P release, and the water pH remained alkaline in the water-sediment system under various OC and DO conditions. No dissolution of the added Al was detected. 31P-NMR characterization suggested that OC addition did not promote biological P uptake to polyphosphates under oxic conditions. The simulation result on the added phytate indicated the absence of phytate in the original lake sediment. As compared to the reported natural lakes and wetland, the water-sediment system of the constructed lake responded differently to some simulative conditions. Since Al, OC, and DO can be controlled with engineering methods, the results of this study provide insights for the practical site restorations.