The goal of this investigation was to develop a continuous process for producing as much dry material as possible under stable operating conditions in an intentionally or unintentionally precipitating environment. Despite the challenge of solids formation, the risk of fouling, and as a result clogging of the system, the goal was achieved by maximizing uninterrupted runtime. A novel approach was used, i.e., exciting the mixing zone by ultrasound (US) in a specially configured process chamber. The main focus was the investigation of how to avoid fouling and buildup of solids in the process chamber, which are undesired effects in continuous manufacturing. Often these are unavoidable side effects in a precipitating environment, which in the worst case can lead to a process shutdown. In this work, two model substance combinations were used (lactose/water/isopropanol and ibuprofen/ethanol/water) to demonstrate a hydrophilic case and a lipophilic case. A feed suspension was mixed with an antisolvent in an ultrasonic process chamber, with a persisting helical flow pattern and perpendicular introduction of ultrasound. Solids were precipitated during mixing, and blockage of the system could occur as a result of the introduced fouling and accumulation. Critical process parameters (product temperature, US input, and solid loading) were analyzed with respect to their influence on process stability and duration. As this process could also be applied to produce or purify particles, the particle size distributions (PSDs) of the two substances were evaluated with regard to agglomeration and attrition. The described precipitating environment can be applied to pharmaceutical manufacturing.