Bioavailable organic-rich food waste (FW) is a promising feedstock for renewable hydrogen production. However, its highly suspended and complex nature presents substantial challenges for producing high-purity hydrogen in dual-chamber microbial electrolysis cells (MECs). This study examined the effects of pretreating FW through pre-fermentation and/or filtration on its microbial electrolysis. Both methods enhanced the exoelectrogenic utilization of FW, with pre-fermentation being especially effective by conditioning substrate composition, while filtration alone was less advantageous due to associated energy loss. The MECs fed with pre-fermented FW exhibited significantly higher performances, achieving the highest hydrogen yield of 1,029 mL/g chemical oxygen demand fed (39.1 % increase over raw FW) when pre-fermentation was followed by filtration. Bioanodes across all MECs were dominated by exoelectrogenic bacteria, mainly Geobacter and Desulfovibrio, with significantly greater abundance observed with pre-fermentation. These findings highlight the value of pretreatment, particularly pre-fermentation, and warrant further optimization research to maximize FW conversion into hydrogen.